Individual provider Active NPI

Andy Cody Huffman, D.C.

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1366683195
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2009000493 Issued in MO
Practice address
6060 Telegraph Rd
Suite a
Saint Louis, MO 63129-4762
Phone
(314) 846-6700
Fax
(314) 846-8840
NPI assigned
Mar 6, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2009000493 MO Primary

Addresses

Primary practice location

6060 Telegraph Rd
Suite a
Saint Louis, MO 63129-4762

Mailing address

6060 Telegraph Rd
Suite a
Saint Louis, MO 63129-4762
Phone (314) 846-6700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090714000644 MO Practitioner - Chiropractic 0345392841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2901 Union Rd
FL 2
Saint Louis, MO 63125-3985
Phone (314) 892-2598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2009000493MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Family Wellness Center LLC CurrentSince May 18, 2009 Accepting new patients
Hendricks Chiropractic Chiropractor PastSince May 18, 2009 Accepting new patients

Locations

6060 Telegraph Rd
Ste A
Saint Louis, MO 63129
Phone (314) 846-6700

2901 Union Rd
Fl 2
Saint Louis, MO 63125
Phone (314) 892-2598

Organizations & group practices 2

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": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1366683195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 TELEGRAPH RD",
            "address_2": "SUITE A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631294762",
            "telephone_number": "314-846-6700",
            "fax_number": "314-846-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 TELEGRAPH RD",
            "address_2": "SUITE A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631294762",
            "telephone_number": "314-846-6700",
            "fax_number": "314-846-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "ANDY",
        "middle_name": "CODY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2009000493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.