Active NPI
John Lewis Golden, D.C.
- Chiropractor
- Chesterfield, MO
National Provider Identifier
1427112812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 006175
- Practice address
- 14824 Long Branch CT
Chesterfield, MO 63017-5409 - Phone
- (636) 532-3030
- Fax
- (636) 532-3733
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 006175 | MO | Primary |
Addresses
Primary practice location
14824 Long Branch CT
Chesterfield, MO 63017-5409
Mailing address
14824 Long Branch CT
Chesterfield, MO 63017-5409
Phone (636) 532-3030
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44-00903 | Other | MO | UNITED HEALTH CARE - OLD |
| 236943 | Other | MO | HEALTHLINK |
| 5484 | Other | MO | BLUE CROSS BLUE SHIELD |
| 43-1841030 | Other | MO | ALL OTHERS |
| 5871577 | Other | MO | AETNA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 006175 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427112812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14824 LONG BRANCH CT",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630175409",
"telephone_number": "636-532-3030",
"fax_number": "636-532-3733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14824 LONG BRANCH CT",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630175409",
"telephone_number": "636-532-3030",
"fax_number": "636-532-3733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDEN",
"first_name": "JOHN",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "006175",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE - OLD",
"identifier": "44-00903",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "236943",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5484",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALL OTHERS",
"identifier": "43-1841030",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5871577",
"state": "MO"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.