T.S. Bogusky, D.D.S., P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

11038 Issued in MO

Legal business name

T.S. BOGUSKY, D.D.S., P.C.

Practice address

4125 Mexico Rd
Saint Peters, MO 63376-6410

Phone

(636) 447-4080

Fax

(636) 447-5764

NPI assigned

Apr 17, 2008

Last updated

Apr 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Carol Lee Schneider

Title

Office Manager

Phone

(636) 447-4080

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1043484249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 MEXICO RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766410",
            "telephone_number": "636-447-4080",
            "fax_number": "636-447-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 MEXICO RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766410",
            "telephone_number": "636-447-4080",
            "fax_number": "636-447-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.S. BOGUSKY, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "636-447-4080",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "11038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew John Susuki, DMD
• Mary Swenson, COTA
• Ryan Anthony Swier, D.C.
• Caitlin Sykes
• Taylor Szekacs, COTA/L
• Megan Ta
• Taken by Faith LLC
• Taken by Faith LLC
• Taken by Faith LLC
• Taken by Faith LLC (Taken By Faith Home Health Care)

• Dental Clinic/Center in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.