Organization Active NPI

Daniel J Meshoto DO PC

Doing business as Telegraph Road Family Practice

  • Family Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1699848150
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO104006 Issued in MO
Legal business name
DANIEL J MESHOTO DO PC
Doing business as
Telegraph Road Family Practice
Practice address
11110 Lindbergh Business Court
St. Louis, MO 63123-7810
Phone
(314) 845-8888
Fax
(314) 845-8833
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Authorized official

Name
Dr. Daniel Joseph Meshoto, D.O.NPI 1558334847
Title
Physician - Ceo
Phone
(314) 845-8888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X DO104006 MO Primary

Addresses

Primary practice location

11110 Lindbergh Business Court
St. Louis, MO 63123-7810

Mailing address

11110 Lindbergh Business Court
St. Louis, MO 63123-7810
Phone (314) 845-8888

Other names 1

  • Telegraph Road Family Practice Doing business as

National Provider Directory

National Provider Directory

Locations

140 Cliff Cave Rd
Ste 200
Saint Louis, MO 63129
Phone (314) 620-8291

11110 Lindbergh Business Ct
#C
Saint Louis, MO 63123
Phone (314) 845-8888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1699848150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 LINDBERGH BUSINESS COURT",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631237810",
            "telephone_number": "314-845-8888",
            "fax_number": "314-845-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 LINDBERGH BUSINESS COURT",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631237810",
            "telephone_number": "314-845-8888",
            "fax_number": "314-845-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL J MESHOTO DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "MESHOTO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PHYSICIAN - CEO",
        "authorized_official_telephone_number": "314-845-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "DO104006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Telegraph Road Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 16, 2015; 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.