NPIMap

Organization Active NPI

Elm Dental Care, LLC

  • Dental Clinic/Center
  • Saint Charles, MO
National Provider Identifier
1023258936
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2010021038 Issued in MO
Legal business name
ELM DENTAL CARE, LLC
Practice address
3820 Elm St
Saint Charles, MO 63301-4368
Phone
(636) 916-4848
Fax
(636) 916-1004
NPI assigned
Mar 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Dr. Michael R Leuchtmann, D.D.S.NPI 1780999623
Title
Owner
Phone
(636) 916-4848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2010021038 MO Primary

Addresses

Primary practice location

3820 Elm St
Saint Charles, MO 63301-4368

Mailing address

3820 Elm St
Saint Charles, MO 63301-4368
Phone (636) 916-4848

National Provider Directory

National Provider Directory

Locations

3820 Elm St
Saint Charles, MO 63301
Phone (636) 916-4848

Practitioners & affiliated clinicians

Practitioners 3

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": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1023258936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 ELM ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633014368",
            "telephone_number": "636-916-4848",
            "fax_number": "636-916-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 ELM ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633014368",
            "telephone_number": "636-916-4848",
            "fax_number": "636-916-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELM DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "LEUCHTMANN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-916-4848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "2010021038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 20, 2012; 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.