Active NPI
David Stair
- Counselor
- Saint Louis, MO
National Provider Identifier
1497040505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2011010750
- Practice address
- 1715 Deer Tracks TRL
Suite 260
Saint Louis, MO 63131-1839 - Phone
- (636) 541-0676
- NPI assigned
- Jun 16, 2011
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2011010750 | MO | Primary |
Addresses
Primary practice location
1715 Deer Tracks TRL
Suite 260
Saint Louis, MO 63131-1839
Mailing address
5 Hillcrest Blvd
Ballwin, MO 63021-5255
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 |
|---|---|---|---|
| 2011010750 | MO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367366400000",
"number": "1497040505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 HILLCREST BLVD",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630215255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 DEER TRACKS TRL",
"address_2": "SUITE 260",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631311839",
"telephone_number": "636-541-0676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAIR",
"first_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-16",
"last_updated": "2013-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "2011010750",
"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 May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.