Individual provider Active NPI

Alexander Johannes Olalani McGuire, DC

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1891351193
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2019015448 Issued in MO
Practice address
6780 Southwest Ave
Saint Louis, MO 63143-2624
Phone
(314) 502-7637
Fax
(314) 667-3192
NPI assigned
May 13, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2019015448 MO Primary

Addresses

Primary practice location

6780 Southwest Ave
Saint Louis, MO 63143-2624

Mailing address

6780 Southwest Ave
Saint Louis, MO 63143-2624
Phone (314) 502-7637

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190801002272 MO Practitioner - Chiropractic 0840526588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6780 Southwest Ave
Saint Louis, MO 63143-2624
Phone (314) 502-7637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019015448MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Olalani Holdings LLC CurrentSince Feb 12, 2020 Accepting new patients

Locations

6780 Southwest Ave
Saint Louis, MO 63143
Phone (314) 502-7637

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1891351193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6780 SOUTHWEST AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631432624",
            "telephone_number": "314-502-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6780 SOUTHWEST AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631432624",
            "telephone_number": "314-502-7637",
            "fax_number": "314-667-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "ALEXANDER",
        "middle_name": "JOHANNES OLALANI",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-13",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2019015448",
            "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 May 8, 2023; 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.