NPIMap

Organization Active NPI

Michael J. Hoffmann D.D.S.

Doing business as The Dental Anesthesia Center

  • General Practice Dentistry
  • Saint Louis, MO
National Provider Identifier
1063426658
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
015074 Issued in MO
Legal business name
MICHAEL J. HOFFMANN D.D.S.
Doing business as
The Dental Anesthesia Center
Practice address
950 Francis PL
Suite 305
Saint Louis, MO 63105-2465
Phone
(314) 861-7844
Fax
(314) 862-4504
NPI assigned
Jul 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Mary Bommarito, PRACTICE ADM
Title
Practice Adm
Phone
(314) 862-7844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 015074 MO Primary

Addresses

Primary practice location

950 Francis PL
Suite 305
Saint Louis, MO 63105-2465

Mailing address

950 Francis PL
Suite 305
Saint Louis, MO 63105-2465
Phone (314) 861-7844

Other names 1

  • The Dental Anesthesia Center Doing business as

National Provider Directory

National Provider Directory

Locations

950 Francis Pl
Ste 305
Saint Louis, MO 63105
Phone (314) 448-5972

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063426658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 FRANCIS PL",
            "address_2": "SUITE 305",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631052465",
            "telephone_number": "314-861-7844",
            "fax_number": "314-862-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 FRANCIS PL",
            "address_2": "SUITE 305",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631052465",
            "telephone_number": "314-861-7844",
            "fax_number": "314-862-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. HOFFMANN D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOMMARITO",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRACTICE ADM",
        "authorized_official_telephone_number": "314-862-7844",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PRACTICE ADM"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "015074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dental Anesthesia Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.