Active NPI
David McIntosh, DC
- Chiropractor
- Saint Louis, MO
National Provider Identifier
1922672336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2021017233
- Practice address
- 1862 Craigshire Rd
Saint Louis, MO 63146-4006 - Phone
- (314) 628-9898
- NPI assigned
- May 19, 2021
- Last updated
- May 19, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 2021017233 | MO | Primary |
Addresses
Primary practice location
1862 Craigshire Rd
Saint Louis, MO 63146-4006
Mailing address
1862 Craigshire Rd
Saint Louis, MO 63146-4006
Phone (314) 628-9898
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 |
|---|---|---|---|
| 2021017233 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health & Performance Center | Current | Accepting new patients |
Locations
1862 Craigshire Dr
Saint Louis, MO 63146
Phone (314) 628-9898
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.
-
- Rehabilitation Chiropractor
- Maryland Heights, MO
- NPI 1467724120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1922672336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1862 CRAIGSHIRE RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631464006",
"telephone_number": "314-628-9898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1862 CRAIGSHIRE RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631464006",
"telephone_number": "314-628-9898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTOSH",
"first_name": "DAVID",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-19",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2021017233",
"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 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.