Individual provider Active NPI

Elizabeth B Spataro, DMD

  • Dentist
  • Saint Louis, MO
National Provider Identifier
1013004480
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
MO14210 Issued in MO
Practice address
950 Francis PL
#206
Saint Louis, MO 63105-2465
Phone
(314) 721-1660
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X MO14210 MO Primary

Addresses

Primary practice location

950 Francis PL
#206
Saint Louis, MO 63105-2465

Mailing address

950 Francis PL
#206
Saint Louis, MO 63105
Phone (314) 721-1660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MO14210MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Zora S. Hanko DMD PC Dentist Past Accepting new patients
Elizabeth B Spataro DMD Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1013004480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 FRANCIS PL",
            "address_2": "#206",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63105",
            "telephone_number": "314-721-1660",
            "fax_number": "314-725-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 FRANCIS PL",
            "address_2": "#206",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631052465",
            "telephone_number": "314-721-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPATARO",
        "first_name": "ELIZABETH",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "MO14210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.