Individual provider Active NPI

Jeanine Sasek, DDS

  • Dentist
  • Columbia, MO
National Provider Identifier
1013238716
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2010016298 Issued in MO
Practice address
1700 E Pointe Dr Ste 300
Columbia, MO 65201-6987
Phone
(573) 443-1525
Fax
(573) 875-4834
NPI assigned
Jun 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2010016298 MO Primary

Addresses

Primary practice location

1700 E Pointe Dr Ste 300
Columbia, MO 65201-6987

Mailing address

1700 E Pointe Dr Ste 300
Columbia, MO 65201-6987
Phone (573) 443-1525

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
2010016298MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri Dental Professionals, Richard Straus, DMD, PC 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.

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1013238716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E POINTE DR STE 300",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016987",
            "telephone_number": "573-443-1525",
            "fax_number": "573-875-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E POINTE DR STE 300",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016987",
            "telephone_number": "573-443-1525",
            "fax_number": "573-875-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASEK",
        "first_name": "JEANINE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2010016298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.