Active NPI
Marissa Spruell, DDS
- Pediatric Dentistry
- Arnold, MO
National Provider Identifier
1003685082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 2025029675
- Practice address
- 2231 Michigan Ave
Arnold, MO 63010-2151 - Phone
- (636) 287-6603
- NPI assigned
- Jan 1, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 2025029675 | MO | Primary |
Addresses
Primary practice location
2231 Michigan Ave
Arnold, MO 63010-2151
Mailing address
8300 Delmar Blvd Apt 129
Saint Louis, MO 63124-2183
Phone (863) 289-0033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260407003489 | MO | Order and Referring Only - Dentist | 8921573932 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025029675 | MO | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Confident Smiles, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Takoma Park, MD
- NPI 1265804306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1003685082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 DELMAR BLVD APT 129",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631242183",
"telephone_number": "863-289-0033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2231 MICHIGAN AVE",
"city": "ARNOLD",
"state": "MO",
"postal_code": "630102151",
"telephone_number": "636-287-6603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRUELL",
"first_name": "MARISSA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-01",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MO",
"license": "2025029675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arnold, MO
- South County SNF Opco LLC (South County Health Care Center)
- Rachel Spears, CCC-A
- Kristin Spellicy, M.S., CCC-SLP
- Rachael Spivey, DPT
- Linda Annette Springer
- SSM Health
- SSM Health
- SSM Select Rehab St. Louis, LLC
- St Elizabeth Adult Day Care Center, Inc.
- St John's Mercy Medical Group (Abercrombie Family Practice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.