NPIMap

Organization Active NPI

Borello & Rieser Dental

  • General Practice Dentistry
  • Saint Charles, MO
National Provider Identifier
1003919218
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BORELLO & RIESER DENTAL
Practice address
2745 W Clay St
Ste. E
Saint Charles, MO 63301-2540
Phone
(636) 946-3566
Fax
(636) 946-8155
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Jamie M Skinner
Title
Office Manager
Phone
(636) 724-2044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2745 W Clay St
Ste. E
Saint Charles, MO 63301-2540

Mailing address

2745 W Clay St
Ste. E
Saint Charles, MO 63301-2540
Phone (636) 946-3566

Other names 1

  • Borello Family Dental LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Borello Family Dental LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2745 W Clay St
Ste E
Saint Charles, MO 63301
Phone (636) 724-2044

Practitioners & affiliated clinicians

Practitioners 4

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": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1003919218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 W CLAY ST",
            "address_2": "STE. E",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012540",
            "telephone_number": "636-946-3566",
            "fax_number": "636-946-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 W CLAY ST",
            "address_2": "STE. E",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012540",
            "telephone_number": "636-946-3566",
            "fax_number": "636-946-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORELLO & RIESER DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "636-724-2044"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Borello Family Dental LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Borello Family Dental LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.