James Alvin Faber, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12609 Issued in MO

Practice address

232 Greenshire LN
Dardenne Prairie, MO 63368-8363

Phone

(314) 578-7428

NPI assigned

Sep 27, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1033106786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 GREENSHIRE LN",
            "city": "DARDENNE PRAIRIE",
            "state": "MO",
            "postal_code": "633688363",
            "telephone_number": "314-578-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 GREENSHIRE LN",
            "city": "DARDENNE PRAIRIE",
            "state": "MO",
            "postal_code": "633688363",
            "telephone_number": "314-578-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABER",
        "first_name": "JAMES",
        "middle_name": "ALVIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "12609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Drum, DC
• Spencer J Elmore, D.D.S, M.S.
• Expressions Dental Group
• F. Jay Ohmes DDS LLC (Better Sleep StL)
• F. Jay Ohmes DDS LLC
• Joshua M Fink, D.C., B.S.
• Justin K Fox, DDS
• Andrea B Gerke, RPH
• Jennifer A. Graham
• Reece M Hadden, DPT

• General Practice Dentistry in Dardenne Prairie, MO
• Providers in Dardenne Prairie, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.