Active NPI
Seyer Oral Pathology, LLC
- Clinical Medical Laboratory
- Bridgeton, MO
National Provider Identifier
1003049875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 2002000301
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770562068 | Other | INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Bridgeton, MO
- NPI 1750492500
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.