Organization Active NPI

Gateway 2 Health Inc

  • Chiropractor
  • Chesterfield, MO
National Provider Identifier
1801193149
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2011001253 Issued in MO
Legal business name
GATEWAY 2 HEALTH INC
Practice address
91 Chesterfield Mall
Chesterfield, MO 63017-4807
Phone
(636) 346-1395
Fax
(636) 536-0828
NPI assigned
Feb 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Dr. Jon R Pinkston, D.C.NPI 1013246214
Title
Chiropractic Physician
Phone
(636) 346-1395

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2011001253 MO Primary

Addresses

Primary practice location

91 Chesterfield Mall
Chesterfield, MO 63017-4807

Mailing address

91 Chesterfield Mall
Chesterfield, MO 63017
Phone (636) 346-1395

Other names 1

  • Chiropractic Connection Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110328000808 MO Part B Supplier - Clinic/Group Practice 6709069727 Receives reassigned benefits from 1 practitioner
Practice locations: Weldon Spring, MO

National Provider Directory

National Provider Directory

Locations

5933 S Highway 94
Ste 207
Weldon Spring, MO 63304
Phone (636) 346-1395

Practitioners & affiliated clinicians

Practitioners 2

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": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1801193149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 CHESTERFIELD MALL",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "636-346-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 CHESTERFIELD MALL",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174807",
            "telephone_number": "636-346-1395",
            "fax_number": "636-536-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY 2 HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "PINKSTON",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "636-346-1395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2011001253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Connection",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.