Organization Active NPI

Daniel R. Jasper, LLC

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1770822504
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
105675 Issued in MO
Legal business name
DANIEL R. JASPER, LLC
Practice address
555 N New Ballas Rd Ste 220
Saint Louis, MO 63141-6844
Phone
(314) 886-4664
Fax
(314) 886-4665
NPI assigned
Feb 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Authorized official

Name
Dr. Daniel R Jasper, MDNPI 1730292509
Title
Sole Owner
Phone
(314) 886-4664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 105675 MO Primary

Addresses

Primary practice location

555 N New Ballas Rd Ste 220
Saint Louis, MO 63141-6844

Mailing address

555 N New Ballas Rd Ste 220
Saint Louis, MO 63141-6844
Phone (314) 886-4664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130515000312 MO Part B Supplier - Clinic/Group Practice 4587801360 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Louis, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2057939Daniel R Jasper MD LLC555 N New Ballas, Ste 220, Saint Louis, MO 63141Certificate of waiverApr 24, 2027

National Provider Directory

National Provider Directory

Locations

555 N New Ballas Rd
Ste 250
Saint Louis, MO 63141
Phone (314) 277-6838

555 N New Ballas Rd
Ste 25
Saint Louis, MO 63141
Phone (314) 872-8822

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1770822504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N NEW BALLAS RD STE 220",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416844",
            "telephone_number": "314-886-4664",
            "fax_number": "314-886-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N NEW BALLAS RD STE 220",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416844",
            "telephone_number": "314-886-4664",
            "fax_number": "314-886-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL R. JASPER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "JASPER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "314-886-4664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "105675",
            "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 Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.