Individual provider Active NPI

Timothy Joseph St Onge, DC

  • Chiropractor
  • Branson, MO
National Provider Identifier
1326077553
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10070 Issued in TX
Practice address
574 Highway 248 Ste 4
Branson, MO 65616-7733
Phone
(417) 598-0080
Fax
(888) 463-8877
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10070 TX Primary

Addresses

Primary practice location

574 Highway 248 Ste 4
Branson, MO 65616-7733

Mailing address

574 Highway 248 Ste 4
Branson, MO 65616-7733
Phone (417) 598-0080

Other identifiers 1

IdentifierTypeStateIssuer
TXB164587OtherTXMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10070TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
St Onge Chiropractic & Sports Therapy Chiropractor PastSince Mar 17, 2014 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1326077553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 HIGHWAY 248 STE 4",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167733",
            "telephone_number": "417-598-0080",
            "fax_number": "888-463-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "574 HIGHWAY 248 STE 4",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167733",
            "telephone_number": "417-598-0080",
            "fax_number": "888-463-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST ONGE",
        "first_name": "TIMOTHY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB164587",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.