NPIMap

Organization Active NPI

Juan Carlos Escandon, Inc.

  • Neurology Physician
  • Saint Louis, MO
National Provider Identifier
1689868333
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
106346 Issued in MO
Legal business name
JUAN CARLOS ESCANDON, INC.
Practice address
969 N Mason Rd
Suite 140
Saint Louis, MO 63141-6338
Phone
(314) 996-8830
Fax
(314) 996-8778
NPI assigned
Sep 5, 2007
Last updated
Dec 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Juan Carlos Escandon, M.D.
Title
Owner
Phone
(314) 996-8830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 106346 MO Primary

Addresses

Primary practice location

969 N Mason Rd
Suite 140
Saint Louis, MO 63141-6338

Mailing address

969 N Mason Rd
Suite 140
Saint Louis, MO 63141-6338
Phone (314) 996-8830

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1689868333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 N MASON RD",
            "address_2": "SUITE 140",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416338",
            "telephone_number": "314-996-8830",
            "fax_number": "314-996-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 N MASON RD",
            "address_2": "SUITE 140",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416338",
            "telephone_number": "314-996-8830",
            "fax_number": "314-996-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN CARLOS ESCANDON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "ESCANDON",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-996-8830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "106346",
            "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 Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.