Individual provider Active NPI

Michael Munro, D.C.

  • Chiropractor
  • Town and Country, MO
National Provider Identifier
1407266596
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2014001983 Issued in MO
Practice address
14500 S Outer 40 Rd
Suite 100
Town and Country, MO 63017-5780
Phone
(314) 485-8058
Fax
(314) 720-1831
NPI assigned
Apr 29, 2014
Last updated
Oct 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2014001983 MO Primary

Addresses

Primary practice location

14500 S Outer 40 Rd
Suite 100
Town and Country, MO 63017-5780

Mailing address

14500 S Outer 40 Rd
Suite 100
Town and Country, MO 63017-5780
Phone (314) 485-8058

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2014001983MOMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1407266596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14500 S OUTER 40 RD",
            "address_2": "SUITE 100",
            "city": "TOWN AND COUNTRY",
            "state": "MO",
            "postal_code": "630175780",
            "telephone_number": "314-485-8058",
            "fax_number": "314-720-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14500 S OUTER 40 RD",
            "address_2": "SUITE 100",
            "city": "TOWN AND COUNTRY",
            "state": "MO",
            "postal_code": "630175780",
            "telephone_number": "314-485-8058",
            "fax_number": "314-720-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNRO",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2014001983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Town and Country, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.