Active NPI
Spring Valley Dental Group LTD
- Dentist
- O'Fallon, IL
National Provider Identifier
1013008978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SPRING VALLEY DENTAL GROUP LTD
- Practice address
- 904 E Highway 50
O Fallon, IL 62269 - Phone
- (618) 632-8471
- Fax
- (618) 632-7130
- NPI assigned
- Sep 27, 2006
- 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. Aaron V Oge, DMD
- Title
- Corp Sec
- Phone
- (618) 632-8471
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
904 E Highway 50
O Fallon, IL 62269
Mailing address
904 E Highway 50
O Fallon, IL 62269
Phone (618) 632-8471
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 507401 | Other | UNITED CONCORDIA INS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013008978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 E HIGHWAY 50",
"city": "O FALLON",
"state": "IL",
"postal_code": "62269",
"telephone_number": "618-632-8471",
"fax_number": "618-632-7130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 E HIGHWAY 50",
"city": "O FALLON",
"state": "IL",
"postal_code": "62269",
"telephone_number": "618-632-8471",
"fax_number": "618-632-7130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRING VALLEY DENTAL GROUP LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "OGE",
"authorized_official_first_name": "AARON",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "CORP SEC",
"authorized_official_telephone_number": "618-632-8471",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA INS",
"identifier": "507401",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in O'Fallon, IL
- Ralph Douglas Spafford, P.A.-C
- Jamie Sparks
- Skyler Sparks, DC
- Nikia Spates, RBT
- Spring Valley Dental Associates LLC
- SSM Cardinal Glennon Childrens Hospital (SSM Health Cardinal Glennon Children's Hospital)
- St Elizabeths Hospital of the Hospital Sisters of the Third Order (Eldermed Services)
- St Elizabeths Hospital of the Hospital Sisters of the Third Order (HSHS St. Elizabeth's Hospital)
- St Elizabeths Hospital of the Hospital Sisters of the Third Order (O'Fallon Family Medicine Center)
- St Elizabeths Hospital of the Hospital Sisters of the Third Order (HSHS St. Elizabeth's Sleep Disorders Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.