Robert M. Waxler, D.M.D.,M.S.,Jeffery T. Cavanaugh, D.D.S.,P.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

12336653 Issued in MO

Legal business name

ROBERT M. WAXLER, D.M.D.,M.S.,JEFFERY T. CAVANAUGH, D.D.S.,P.C.

Doing business as

Century Orthodontics

Practice address

410 Sovereign CT
Ste 19
Manchester, MO 63011-4400

Phone

(636) 391-0499

Fax

(636) 391-7340

NPI assigned

Nov 3, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Robert Waxler, D.M.D.

Title

President

Phone

(636) 391-0499

Specialties & licenses 1

Addresses

Other names 1

• Century Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033100599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 SOVEREIGN CT",
            "address_2": "STE 19",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630114400",
            "telephone_number": "636-391-0499",
            "fax_number": "636-391-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 SOVEREIGN CT",
            "address_2": "STE 19",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630114400",
            "telephone_number": "636-391-0499",
            "fax_number": "636-391-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M. WAXLER, D.M.D.,M.S.,JEFFERY T. CAVANAUGH, D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAXLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-391-0499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "12336653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Century Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cecilia Ann Renaud, MA
• Kate Revelle, LPC
• Renae Reynolds, PHARM.D.
• Connie Rhoads
• Elizabeth Riedel
• Aliyah Rollins
• Robert Lucky Rosenfield, RD, LD
• Karen Marie Rottler
• Kevin N Rudberg, DC
• Genyl Rufino, PT

• Orthodontics and Dentofacial Orthopedics Dentistry in Manchester, MO
• Providers in Manchester, MO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Missouri

• 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.

Verify at the official NPI Registry.