NPIMap

Organization Active NPI

He & Ta Rechtin DDS,PC

  • General Practice Dentistry
  • Bridgeton, MO
National Provider Identifier
1043324593
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2000157414 Issued in MO
Legal business name
HE & TA RECHTIN DDS,PC
Practice address
3450 Bridgeland Dr
Suite a
Bridgeton, MO 63044-2605
Phone
(314) 770-0400
Fax
(314) 770-0170
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Authorized official

Name
Theodore Anthony Rechtin IIINPI 1871607994
Title
Owner
Phone
(314) 770-0400

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 2000157414 MO Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

3450 Bridgeland Dr
Suite a
Bridgeton, MO 63044-2605

Mailing address

3450 Bridgeland Dr Ste a
Bridgeton, MO 63044-2605
Phone (314) 770-0400

National Provider Directory

National Provider Directory

Locations

3450 Bridgeland Dr
Ste A
Bridgeton, MO 63044
Phone (314) 770-0400

Practitioners & affiliated clinicians

Practitioners 2

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": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1043324593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 BRIDGELAND DR STE A",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442605",
            "telephone_number": "314-770-0400",
            "fax_number": "314-770-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 BRIDGELAND DR",
            "address_2": "SUITE A",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442605",
            "telephone_number": "314-770-0400",
            "fax_number": "314-770-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HE & TA RECHTIN DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "RECHTIN",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-770-0400",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2000157414",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.