Active NPI
Andrew Louis Dorough
- Chiropractor
- Chesterfield, MO
National Provider Identifier
1639419401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2013002144
- Practice address
- 173 Long Rd Ste 100
Chesterfield, MO 63005-1255 - Phone
- (314) 605-3204
- Fax
- (636) 536-4221
- NPI assigned
- Feb 15, 2013
- Last updated
- Feb 15, 2013
- 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 | 2013002144 | MO | Primary |
Addresses
Primary practice location
173 Long Rd Ste 100
Chesterfield, MO 63005-1255
Mailing address
173 Long Rd Ste 100
Chesterfield, MO 63005-1255
Phone (314) 605-3204
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond Healthcare S.C. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Granite City, IL
- NPI 1891973020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360886400000",
"number": "1639419401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 LONG RD STE 100",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630051255",
"telephone_number": "314-605-3204",
"fax_number": "636-536-4221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 LONG RD STE 100",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630051255",
"telephone_number": "314-605-3204",
"fax_number": "636-536-4221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOROUGH",
"first_name": "ANDREW",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-15",
"last_updated": "2013-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2013002144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
- Elizabeth Donovan, PT
- Rhonda C Donovan, ANPC
- Roxanne Dooley, SLP
- Dorothy Jean Comprehensive Nursing Community, LLC
- Dorothy Jean Comprehensive Transportation Services LLC
- Emily Anne Dorsam, MAC
- Pooja Manjula Swamy Dorward, M.D.
- Catherine J Doty, MD
- Double G Land Co, LLC (Garden Villas)
- Douglas M Fesler Ma LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.