William L Mastorakos, DDS MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

013600 Issued in MO

Practice address

10115 Manchester Rd
Ste 200
St Louis, MO 63122

Phone

(314) 966-4117

Fax

(314) 966-8630

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063527604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10115 MANCHESTER RD",
            "address_2": "STE 200",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63122",
            "telephone_number": "314-966-4117",
            "fax_number": "314-966-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10115 MANCHESTER RD",
            "address_2": "STE 200",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63122",
            "telephone_number": "314-966-4117",
            "fax_number": "314-966-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTORAKOS",
        "first_name": "WILLIAM",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "013600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Leigh Masters
• Chelsea Marie Masters, FNP-C
• Jenna Masters, MA
• Laura M Masters, P.T.
• Julie Marie Mastnak, PH.D.
• Eric Van Mastrolonardo, MD
• Abdullah Al Masud, M.D.
• Andres Alejandro Mata Hidalgo, MD
• Viviana Isabel Mata, DC
• Christine Mataya

• Orthodontics and Dentofacial Orthopedics Dentistry in St Louis, MO
• Providers in St Louis, MO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.