Active NPI
Joseph a. Muccini M.D. LLC
- Specialist
- Chesterfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 111874
- Legal business name
- JOSEPH A. MUCCINI M.D. LLC
- Practice address
- 222 S Woods Mill Rd
Suite 475
Chesterfield, MO 63017-3625 - Phone
- (314) 878-0600
- Fax
- (314) 878-0602
- NPI assigned
- May 6, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Anthony Muccini II, M.D.
- Title
- President
- Phone
- (314) 878-0600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 111874 | MO | Primary |
Addresses
Primary practice location
222 S Woods Mill Rd
Suite 475
Chesterfield, MO 63017-3625
Mailing address
222 S Woods Mill Rd
Suite 475
Chesterfield, MO 63017-3625
Phone (314) 878-0600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
222 S Woods Mill Rd
Ste 475
Chesterfield, MO 63017
Phone (314) 878-0600
222 S Woods Mill Rd
Ste 475N
Chesterfield, MO 63017
Phone (314) 878-0600
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Chesterfield, MO
- NPI 1952398430
-
- Physician Assistant
- Saint Louis, MO
- NPI 1861850851
-
- Dermatology Physician
- Chesterfield, MO
- NPI 1710969183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273104000000",
"number": "1639497290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 S WOODS MILL RD",
"address_2": "SUITE 475",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630173625",
"telephone_number": "314-878-0600",
"fax_number": "314-878-0602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 S WOODS MILL RD",
"address_2": "SUITE 475",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630173625",
"telephone_number": "314-878-0600",
"fax_number": "314-878-0602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH A. MUCCINI M.D. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-06",
"last_updated": "2010-05-06",
"status": "A",
"authorized_official_last_name": "MUCCINI",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "314-878-0600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MO",
"license": "111874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.