Kelly A McCoy Gross, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2005013008 Issued in MO

Practice address

8999 Saint Charles Rock Rd
Saint Louis, MO 63114-4260

Phone

(314) 428-2225

Fax

(314) 428-3338

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1972526663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8999 SAINT CHARLES ROCK RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631144260",
            "telephone_number": "314-428-2225",
            "fax_number": "314-428-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8999 SAINT CHARLES ROCK RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631144260",
            "telephone_number": "314-428-2225",
            "fax_number": "314-428-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY GROSS",
        "first_name": "KELLY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2005013008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP",
            "identifier": "672752",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "02-53978",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1060746",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "199416",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maggie Steffen McCormick, MD
• Molly Ann McCormick, MD
• Ryan McCormick
• Shaka D McCormick, LMT
• Carolyn Kay McCourt, MD
• Amber McCoy, BCABA, LABA
• Bridget K McCoy, MD
• Jack Hamilton McCoy, LMSW
• Jamila McCoy, RN
• Lauren McCoy, PA-C

• Chiropractor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.