Active NPI
A. Dale Cochran
- Lodging Provider
- Saint Peters, MO
National Provider Identifier
1811133036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lodging Provider
- License
- 6754-11125
- Practice address
- 205 Goldeneye CT
Saint Peters, MO 63376-5034 - Phone
- (636) 387-0081
- NPI assigned
- Dec 17, 2008
- 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 |
|---|---|---|---|---|
| Lodging Provider | 177F00000X | 6754-11125 | MO | Primary |
Addresses
Primary practice location
205 Goldeneye CT
Saint Peters, MO 63376-5034
Mailing address
205 Goldeneye CT
Saint Peters, MO 63376-5034
Phone (636) 387-0081
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6754-11125 | MO | MD | Lodging Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229472000000",
"number": "1811133036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 GOLDENEYE CT",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633765034",
"telephone_number": "636-387-0081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 GOLDENEYE CT",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633765034",
"telephone_number": "636-387-0081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCHRAN",
"first_name": "A.",
"middle_name": "DALE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-17",
"last_updated": "2008-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "177F00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Lodging",
"state": "MO",
"license": "6754-11125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.