Active NPI
Stephen Joseph Costantino, D.C.
- Chiropractor
- University City, MO
National Provider Identifier
1437193935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2002032139
- Practice address
- 909 Purdue Ave
University City, MO 63130-3012 - Phone
- (314) 862-0101
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 2002032139 | MO | Primary |
Addresses
Primary practice location
909 Purdue Ave
University City, MO 63130-3012
Mailing address
909 Purdue Ave
University City, MO 63130-3012
Phone (314) 862-0101
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2002032139 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Care Practice Consultants | Chiropractor | Past | 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.
-
- Chiropractor
- Weldon Spring, MO
- NPI 1447454392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488931200000",
"number": "1437193935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 PURDUE AVE",
"city": "UNIVERSITY CITY",
"state": "MO",
"postal_code": "631303012",
"telephone_number": "314-862-0101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 PURDUE AVE",
"city": "UNIVERSITY CITY",
"state": "MO",
"postal_code": "631303012",
"telephone_number": "314-862-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTANTINO",
"first_name": "STEPHEN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2017-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2002032139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in University City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.