Active NPI
Stephen Jay Feldman, DC
- Nutrition Chiropractor
- Kirkwood, MO
National Provider Identifier
1831318005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- CE006144
- Practice address
- 1099 Milwaukee St
Suite 30
Kirkwood, MO 63122-7356 - Phone
- (314) 725-2640
- Fax
- (314) 966-0233
- NPI assigned
- Apr 25, 2007
- 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 |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | CE006144 | MO | Primary |
Addresses
Primary practice location
1099 Milwaukee St
Suite 30
Kirkwood, MO 63122-7356
Mailing address
1099 Milwaukee St
Suite 30
Kirkwood, MO 63122-7356
Phone (314) 725-2640
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9112A1 | Other | MO | ANTHEM BCBS |
| U43957 | Other | MO | MERCY |
| 43168237701 | Other | MO | CMR |
| 238547 | Other | MO | HEALTHLINK |
| 4483452 | Other | MO | UNITED HEALTH CARE |
| 5176 | Other | MO | BLUECHOICE |
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 |
|---|---|---|---|
| CE006144 | MO | MD | Nutrition Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262822400000",
"number": "1831318005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1099 MILWAUKEE ST",
"address_2": "SUITE 30",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631227356",
"telephone_number": "314-725-2640",
"fax_number": "314-966-0233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1099 MILWAUKEE ST",
"address_2": "SUITE 30",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631227356",
"telephone_number": "314-725-2640",
"fax_number": "314-966-0233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDMAN",
"first_name": "STEPHEN",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-25",
"last_updated": "2010-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "MO",
"license": "CE006144",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "9112A1",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY",
"identifier": "U43957",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMR",
"identifier": "43168237701",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "238547",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "4483452",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHOICE",
"identifier": "5176",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kirkwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.