DR. JOHN MICHAEL BOTT (NPI# 1659582104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659582104 |
| Entity Type | Individual |
| Full Name | DR. JOHN MICHAEL BOTT |
| Credential | DC |
| Practice Address |
8787 Big Bend St Louis MO 63119 |
| Practice Telephone | 3149621116 |
| Mailing Telephone | 3149621116 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5589 | MO | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144774605 | John Bott | Physical Therapist | 18444 N 25th Ave Ste 220, Phoenix, AZ 85023 | 2016-08-12 |
| Street Address |
8787 BIG BEND |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525631 | Kaylen A Howard | Specialist/Technologist | No, No, MO 63119 | 2020-10-16 |
| 1053887612 | St. Gianna Pediatrics, LLC | Pediatrics | 7387 Watson Road, Shrewsbury, MO 63119 | 2018-10-22 |
| 1982140265 | Forefront Dermatology, S.c. | Dermatology | 8567 Watson Rd, Webster Groves, MO 63119 | 2017-01-11 |
| 1407308018 | Tyler Clark | Student in an Organized Health Care Education/Training Program | 7785 Keswick Pl, Saint Louis, MO 63119 | 2016-10-30 |
| 1396109880 | Ritesh Gandhi | Family Medicine | 7345 Watson Rd Ste 203, Saint Louis, MO 63119 | 2016-04-11 |
| 1568834489 | Antonio Robinson | Counselor | 330 N. Gore, Great Circle, Saint Louis, MO 63119 | 2015-10-30 |
| 1922484039 | Odessa Baker X | Dietary Manager | 525 N. Laclede Station Road, St. Louis, MO 63119 | 2015-07-31 |
| 1194114694 | Laura Maher | Social Worker | 201 W. Lockwood Ave, Suite 201, St. Louis, MO 63119 | 2015-01-21 |
| 1427314046 | Dick (richard) Ralph Brummett | Family Medicine | 711 S Laclede Sta Rd, # 2111, St Louis, MO 63119 | 2012-04-09 |
| 1972872935 | Dolliene A. Raabe | Social Worker | 8050 Watson Road, Suite 201, St. Louis, MO 63119 | 2011-12-21 |
| Find all providers in zip 63119 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083736243 | Gary Jean Jameson | Chiropractor | 2901 S Brentwood Blvd, St Louis, MO 63144 | 2007-04-06 |
| 1720108004 | David Gerard Hartmann | Chiropractor | 5226 S Lindbergh Blvd, St Louis, MO 63126-3519 | 2007-03-30 |
| 1912038308 | Richard Wayne Cranwell | Chiropractor | 11705 Gravois Road, St Louis, MO 63127 | 2007-03-08 |
| 1043340482 | Paulette Chiropractic and Acupuncture | Chiropractor | 6341 Clayton Road, St Louis, MO 63117 | 2007-03-06 |
| 1720122401 | Devereux Chiropractic & Acupuncture LLC | Chiropractor | 4500 Telegraph, Suite 104, St Louis, MO 63129 | 2007-02-16 |
| 1942352109 | Mary Patricia Ganley | Chiropractor | 3470 Hampton Ave, Suite 102, St Louis, MO 63139-1936 | 2007-01-17 |
| 1215089867 | Keith D Berger | Chiropractor | 8135 Delmar Blvd, St Louis, MO 63130-3729 | 2007-01-16 |
| 1932266509 | David Kurt Wipperman | Chiropractor | 11639 Studt Avenue, St Louis, MO 63141-7015 | 2007-01-03 |
| 1144398215 | Walter J Foland Jr. | Chiropractor | 4582 Telegraph Road, St Louis, MO 63129-3318 | 2006-11-30 |
| 1336223882 | Kenneth Ray Teater | Chiropractor | 2359 Chambers Rd, St Louis, MO 63136 | 2006-10-24 |
| Find all providers in ST LOUIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.