Active NPI
James W. George, D.C.
- Chiropractor
- Saint Louis, MO
National Provider Identifier
1689779761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2004010551
- Practice address
- 1099 Milwaukee St
Suite 230
Saint Louis, MO 63122-7356 - Phone
- (314) 822-1502
- Fax
- (314) 821-9889
- NPI assigned
- Sep 14, 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 | 2004010551 | MO | Primary |
Addresses
Primary practice location
1099 Milwaukee St
Suite 230
Saint Louis, MO 63122-7356
Mailing address
1099 Milwaukee St
Suite 240
Saint Louis, MO 63122-7356
Phone (314) 822-1502
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190571 | Other | MO | BLUE CROSS BLUE SHIELD |
| 660431 | Other | MO | HEALTHLINK, INC. |
| 7529586 | Other | MO | AETNA |
| 285160 | Other | MO | GHP |
| 666181 | Other | MO | UNITED HEALTH CARE |
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 |
|---|---|---|---|
| Michael L Masucci DC LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Wildwood, MO
- NPI 1689084972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417392000000",
"number": "1689779761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1099 MILWAUKEE ST",
"address_2": "SUITE 240",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631227356",
"telephone_number": "314-822-1502",
"fax_number": "314-821-9889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1099 MILWAUKEE ST",
"address_2": "SUITE 230",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631227356",
"telephone_number": "314-822-1502",
"fax_number": "314-821-9889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "JAMES",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2014-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2004010551",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "190571",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK, INC.",
"identifier": "660431",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7529586",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP",
"identifier": "285160",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "666181",
"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 Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.