NPIMap

Organization Active NPI

St. Louis University

  • Dental Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1053467746
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ST. LOUIS UNIVERSITY
Practice address
3320 Rutger St
Saint Louis, MO 63104-1122
Phone
(314) 977-8363
Fax
(314) 977-8617
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rolf G Behrents, DDS, MS, PHD
Title
Cade Executive Director
Phone
(314) 977-8600

Specialties & licenses 1

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

Addresses

Primary practice location

3320 Rutger St
Saint Louis, MO 63104-1122

Mailing address

3320 Rutger St
Room 2048
Saint Louis, MO 63104-1122
Phone (314) 977-8363

Other names 1

  • Center for Advanced Dental Education Other name

National Provider Directory

National Provider Directory
Tax ID family
Slucare Dept of Neuro S16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

3320 Rutger St
Rm 2048
Saint Louis, MO 63104

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053467746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 RUTGER ST",
            "address_2": "ROOM 2048",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631041122",
            "telephone_number": "314-977-8363",
            "fax_number": "314-977-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 RUTGER ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631041122",
            "telephone_number": "314-977-8363",
            "fax_number": "314-977-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEHRENTS",
        "authorized_official_first_name": "ROLF",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CADE EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-977-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS, PHD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Advanced Dental Education",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • 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.