Active NPI
Ron R. Farotto, D.C.
- Chiropractor
- Saint Louis, MO
National Provider Identifier
1447264627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5478
- Practice address
- 5820 S Grand Blvd
Saint Louis, MO 63111-2305 - Phone
- (314) 351-4273
- Fax
- (800) 595-7476
- NPI assigned
- Jul 27, 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 | 5478 | MO | Primary |
Addresses
Primary practice location
5820 S Grand Blvd
Saint Louis, MO 63111-2305
Mailing address
5820 S Grand Blvd
Saint Louis, MO 63111-2305
Phone (314) 351-4273
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10228X | Other | MO | BC/BS ID |
| 203BG0000X | Other | MO | HEALTHLINK CODE |
| 44-80052 | Other | MO | UNITED HEALTH CARE PROVID |
| 5938070 | Other | MO | AETNA PIN CODE |
| 4348100 | Other | MO | CIGNA ID |
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 |
|---|---|---|---|
| 5478 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275523200000",
"number": "1447264627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5820 S GRAND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631112305",
"telephone_number": "314-351-4273",
"fax_number": "800-595-7476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5820 S GRAND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631112305",
"telephone_number": "314-351-4273",
"fax_number": "800-595-7476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAROTTO",
"first_name": "RON",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2010-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "5478",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS ID",
"identifier": "10228X",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK CODE",
"identifier": "203BG0000X",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE PROVID",
"identifier": "44-80052",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN CODE",
"identifier": "5938070",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA ID",
"identifier": "4348100",
"state": "MO"
}
],
"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 Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.