Jorge Amorin, DDS – Dentist in Saint Louis, MO

Key facts

NPI: 1013142256
Entity type: Individual (NPI type 1)
Primary specialty: Dentist 122300000X
License: 2007026835 (MO)
Practice address: 4337 Butler Hill Rd
Saint Louis, MO 63128-3735
Phone: (314) 892-2000
Fax: (314) 892-4550
NPI assigned: May 18, 2009
Sex: Male
Sole proprietor: No

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.

Missouri Dental Professionals, Richard Straus, D.M.D., P.C. General Practice Dentistry · Saint Louis, MO · NPI 1417575119

NPD (past)

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
2007026835	MO	MD	Dentist

Practice roles

Organization	Specialty	Status	New patients
Missouri Dental Professionals, Richard Straus, D.M.D., P.C.		Past since Jul 12, 2020	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist	122300000X	2007026835	MO	Yes

Addresses

Primary practice location

4337 Butler Hill Rd
Saint Louis, MO 63128-3735

Mailing address

4337 Butler Hill Rd
Saint Louis, MO 63128-3735
Phone (314) 892-2000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 18, 2009.

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242604800000",
    "number": "1013142256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4337 BUTLER HILL RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283735",
            "telephone_number": "314-892-2000",
            "fax_number": "314-892-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4337 BUTLER HILL RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283735",
            "telephone_number": "314-892-2000",
            "fax_number": "314-892-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMORIN",
        "first_name": "JORGE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2007026835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

All providers in Saint Louis, MO · Dentist in Missouri

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2009. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.