Organization Active NPI

Seyer Oral Pathology, LLC

  • Clinical Medical Laboratory
  • Bridgeton, MO
National Provider Identifier
1003049875
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
2002000301 Issued in MO
Legal business name
SEYER ORAL PATHOLOGY, LLC
Practice address
3439 Bridgeland Dr
Bridgeton, MO 63044-2604
Phone
(314) 291-2777
NPI assigned
Aug 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Authorized official

Name
Dr. Bradley A. Seyer, DDS
Title
Owner
Phone
(314) 830-4897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 2002000301 MO Primary

Addresses

Primary practice location

3439 Bridgeland Dr
Bridgeton, MO 63044-2604

Mailing address

3774 Afshari'S Cir
Florissant, MO 63034-1535
Phone (314) 830-4897

Other identifiers 1

IdentifierTypeStateIssuer
1770562068OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1003049875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3774 AFSHARI'S CIR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630341535",
            "telephone_number": "314-830-4897",
            "fax_number": "314-830-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3439 BRIDGELAND DR",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442604",
            "telephone_number": "314-291-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEYER ORAL PATHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "SEYER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-830-4897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MO",
            "license": "2002000301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1770562068",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.