Active NPI
Frank J Mistretta, D.C.
- Chiropractor
- Saint Louis, MO
National Provider Identifier
1700955663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5422
- Practice address
- 11229 Manchester Rd
Saint Louis, MO 63122-1122 - Phone
- (314) 966-4300
- Fax
- (314) 966-6694
- NPI assigned
- Nov 7, 2006
- Last updated
- Feb 5, 2014
- 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 | 5422 | MO | Primary |
Addresses
Primary practice location
11229 Manchester Rd
Saint Louis, MO 63122-1122
Mailing address
11229 Manchester Rd
Saint Louis, MO 63122-1122
Phone (314) 966-4300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3030 | Other | MO | EPOCH |
| 14636 | Other | MO | BLUE CROSS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5422 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCJJ Holdings | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391558400000",
"number": "1700955663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11229 MANCHESTER RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631221122",
"telephone_number": "314-966-4300",
"fax_number": "314-966-6694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11229 MANCHESTER RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631221122",
"telephone_number": "314-966-4300",
"fax_number": "314-966-6694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISTRETTA",
"first_name": "FRANK",
"middle_name": "J",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2014-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "5422",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EPOCH",
"identifier": "3030",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "14636",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
- Missouri Residential Care LLC (Chateau Ann Marie)
- Missouri School for the Blind
- Missouri Spine Care, LLC
- Missouri Veterans Commission (Missouri Veterans Home St. Louis)
- Missouri Veterans Healthcare Services LLC
- Katherine Lynn Mistretta, MD
- Aloo Tehmton Mistry, MD
- Nichole Misuraca, MA, ED.S
- Mitchell D. Botney, MD
- Mitchell Resource Center for Social Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.