Active NPI
Michael Robert Cole II, DC
- Chiropractor
- Saint Louis, MO
National Provider Identifier
1609450873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2021016895
- Practice address
- 374 S Grand Blvd Apt 134a
Saint Louis, MO 63103-2461 - Phone
- (330) 437-6025
- NPI assigned
- May 12, 2021
- Last updated
- May 12, 2021
- 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 | 2021016895 | MO | Primary |
Addresses
Primary practice location
374 S Grand Blvd Apt 134a
Saint Louis, MO 63103-2461
Mailing address
374 S Grand Blvd Apt 134a
Saint Louis, MO 63103-2461
Phone (330) 437-6025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | NA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | NA | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 2021016895 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1609450873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "374 S GRAND BLVD APT 134A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631032461",
"telephone_number": "330-437-6025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "374 S GRAND BLVD APT 134A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631032461",
"telephone_number": "330-437-6025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "MICHAEL",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-12",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2021016895",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "NA",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "NA",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "NA",
"address_1": "374 S Grand Blvd Apt 134A",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631032461",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.