Peter John Roscoe, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2001020193 Issued in MO

Practice address

2821 N Ballas Rd Ste C55
Saint Louis, MO 63131-2386

Phone

(314) 989-1805

NPI assigned

Feb 7, 2007

Last updated

Apr 28, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1770623811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 N BALLAS RD",
            "address_2": "STE C55",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312386",
            "telephone_number": "314-542-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 N BALLAS RD STE C55",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312386",
            "telephone_number": "314-989-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSCOE",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2001020193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Gabriel Rosado Gonzalez, MD
• Jesenia Rosario
• Rosati Group Home
• Ashley Brooke Rosborough, LCSW
• Julia Vander Wende Roscoe, M.ED, MA, BCBA
• Ashlee Michelle Rose-Huez, OTR/L, BCPR
• Brian J Rose, PT
• Brittany Kay Rose, PMHNP
• Candra D. Rose
• Catherine C Rose, OTR

• Chiropractor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.