Active NPI
Kenneth G Osia, DC
- Chiropractor
- Saint Louis, MO
National Provider Identifier
1922078039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 004779
- Practice address
- 5600 S Compton Ave
Saint Louis, MO 63111-1908 - Phone
- (314) 351-6308
- Fax
- (314) 351-6308
- NPI assigned
- Jan 23, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 004779 | MO | Primary |
Addresses
Primary practice location
5600 S Compton Ave
Saint Louis, MO 63111-1908
Mailing address
5600 S Compton Ave
Saint Louis, MO 63111-1908
Phone (314) 351-6308
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134135 | Other | MO | BCBS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288569600000",
"number": "1922078039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5600 S COMPTON AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631111908",
"telephone_number": "314-351-6308",
"fax_number": "314-351-6308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 S COMPTON AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631111908",
"telephone_number": "314-351-6308",
"fax_number": "314-351-6308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSIA",
"first_name": "KENNETH",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2010-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "004779",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "134135",
"state": "MO"
}
],
"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 Nov 1, 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.