Organization Active NPI

Coury Spine LLC

  • Orthopaedic Surgery of the Spine Physician
  • Chesterfield, MO
National Provider Identifier
1255113403
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
COURY SPINE LLC
Practice address
226 S Woods Mill Rd Ste 35W
Chesterfield, MO 63017-3442
Phone
(314) 548-6860
Fax
(314) 548-6866
NPI assigned
Oct 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John Coury, DO
Title
Owner
Phone
(314) 548-6860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X Primary

Addresses

Primary practice location

226 S Woods Mill Rd Ste 35W
Chesterfield, MO 63017-3442

Mailing address

226 S Woods Mill Rd Ste 35W
Chesterfield, MO 63017-3442
Phone (314) 548-6860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231205002919 MO Part B Supplier - Clinic/Group Practice 3072962885 Receives reassigned benefits from 1 practitioner
Practice locations: Chesterfield, MO

National Provider Directory

National Provider Directory

Locations

226 S Woods Mill Rd
Ste 35W
Chesterfield, MO 63017
Phone (314) 251-3990

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1255113403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 S WOODS MILL RD STE 35W",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173442",
            "telephone_number": "314-548-6860",
            "fax_number": "314-548-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 S WOODS MILL RD STE 35W",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173442",
            "telephone_number": "314-548-6860",
            "fax_number": "314-548-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURY SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "COURY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-548-6860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.