Individual provider Active NPI

Daniel Gogliotti, D.C.

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1962848465
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2013012182 Issued in MO
Practice address
2121 Barrett Station Rd
Saint Louis, MO 63131-1606
Phone
(314) 394-1923
Fax
(314) 394-1953
NPI assigned
May 12, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 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 2013012182 MO Primary

Addresses

Primary practice location

2121 Barrett Station Rd
Saint Louis, MO 63131-1606

Mailing address

2121 Barrett Station Rd
Saint Louis, MO 63131-1606
Phone (314) 394-1923

Other practice location 1

5650 Mexico Rd Ste 2
Saint Peters, MO 63376-1696
Phone (636) 875-1270

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130625000231 MO Practitioner - Chiropractic 9537308549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5650 Mexico Rd
Suite 2
Saint Peters, MO 63376-1696
Phone (636) 875-1270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Healthcare Physical Medicine of West County, LLC CurrentSince Sep 30, 2015 Accepting new patients
Superior Healthcare Physical Medicine of West County, LLC CurrentSince Sep 4, 2019 Accepting new patients

Locations

2121 Barrett Station Rd
Saint Louis, MO 63131
Phone (314) 394-1923

5650 Mexico Rd
Ste 2
Saint Peters, MO 63376
Phone (636) 875-1270

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1368316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1962848465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 BARRETT STATION RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311606",
            "telephone_number": "314-394-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 BARRETT STATION RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311606",
            "telephone_number": "314-394-1923",
            "fax_number": "314-394-1953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5650 Mexico Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633761696",
            "country_code": "US",
            "telephone_number": "636-875-1270",
            "fax_number": "636-875-1278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOGLIOTTI",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-12",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2013012182",
            "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 Mar 23, 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.