Organization Active NPI

Gateway Chiropractic LLC

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1396104931
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2009019495 Issued in MO
Legal business name
GATEWAY CHIROPRACTIC LLC
Practice address
9560 Watson Rd
Suite G
Saint Louis, MO 63126-1541
Phone
(314) 909-9000
NPI assigned
Feb 10, 2016
Last updated
Feb 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Authorized official

Name
Dr. Joseph D Sas, D.CNPI 1427389626
Title
Owner
Phone
(314) 909-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2009019495 MO Primary

Addresses

Primary practice location

9560 Watson Rd
Suite G
Saint Louis, MO 63126-1541

Mailing address

9560 Watson Rd
Suite G
Saint Louis, MO 63126-1541

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160226000462 MO Part B Supplier - Clinic/Group Practice 5991000119 Receives reassigned benefits from 2 practitioners
Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

11339 Gravois Rd
Saint Louis, MO 63126
Phone (314) 842-1616

9560 Watson Rd
Ste G
Saint Louis, MO 63126
Phone (314) 909-9000

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1396104931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9560 WATSON RD",
            "address_2": "SUITE G",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9560 WATSON RD",
            "address_2": "SUITE G",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261541",
            "telephone_number": "314-909-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "SAS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-909-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2009019495",
            "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 Feb 24, 2016; 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.