NPIMap

Organization Active NPI

Towne Centre Dental Care

  • Dentist
  • Chesterfield, MO
National Provider Identifier
1053817866
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TOWNE CENTRE DENTAL CARE
Practice address
132 Chesterfield Towne Ctr
Chesterfield, MO 63005-1230
Phone
(636) 733-2363
NPI assigned
Apr 2, 2018
Organization subpart
Yes
Parent organization
SOH OF MISSOURI SAMSON LIU PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

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

Authorized official

Name
Mr. Raymond Weber
Title
Regional Support Specialist
Phone
(314) 753-8154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X MO Primary

Addresses

Primary practice location

132 Chesterfield Towne Ctr
Chesterfield, MO 63005-1230

Mailing address

132 Chesterfield Towne Ctr
Chesterfield, MO 63005-1230
Phone (636) 733-2363

National Provider Directory

National Provider Directory
Tax ID family
Soh of Missouri Samson PC6 organizations share this tax ID, including this one
Part of
Soh of Missouri Samson PC

Other organizations with this tax ID 5

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

Locations

132 Chesterfield Towne Ctr
Chesterfield, MO 63005
Phone (636) 733-2363

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522627200000",
    "number": "1053817866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 CHESTERFIELD TOWNE CTR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051230",
            "telephone_number": "636-733-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 CHESTERFIELD TOWNE CTR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051230",
            "telephone_number": "636-733-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNE CENTRE DENTAL CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOH OF MISSOURI SAMSON LIU PC",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "REGIONAL SUPPORT SPECIALIST",
        "authorized_official_telephone_number": "314-753-8154",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.