Organization Active NPI

St Louis Pain Center LLC

  • General Practice Physician
  • Saint Louis, MO
National Provider Identifier
1992587968
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ST LOUIS PAIN CENTER LLC
Practice address
4455 Telegraph Rd Ste 250
Saint Louis, MO 63129-3354
Phone
(314) 846-2100
Fax
(314) 846-4975
NPI assigned
Oct 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Andrew Morningstar, DCNPI 1063471993
Title
Managing Partner
Phone
(636) 244-0124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

4455 Telegraph Rd Ste 250
Saint Louis, MO 63129-3354

Mailing address

4455 Telegraph Rd Ste 250
Saint Louis, MO 63129-3354
Phone (314) 846-2100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231109000774 MO Part B Supplier - Clinic/Group Practice 2466809645 Receives reassigned benefits from 4 practitioners
Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

5682 Telegraph Rd
Saint Louis, MO 63129
Phone (314) 846-2100

4455 Telegraph Rd
Ste 250
Saint Louis, MO 63129
Phone (314) 416-4900

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1992587968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 TELEGRAPH RD STE 250",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631293354",
            "telephone_number": "314-846-2100",
            "fax_number": "314-846-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 TELEGRAPH RD STE 250",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631293354",
            "telephone_number": "314-846-2100",
            "fax_number": "314-846-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LOUIS PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "MORNINGSTAR",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "636-244-0124",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "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 Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.