Jay F. Hauser, DDS, PC

Primary specialty

DentistTaxonomy code 122300000X

License

014894 Issued in MO

Legal business name

JAY F. HAUSER, DDS, PC

Practice address

750 Gravois Bluffs Blvd
Suite C
Fenton, MO 63026-7726

Phone

(314) 367-1243

NPI assigned

Oct 26, 2015

Organization subpart

Yes

Parent organization

JAY F. HAUSER, DDS, PCAs reported in NPPES

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

Authorized official

Name

Dr. Jay F Hauser, DDS

Title

President

Phone

(314) 367-1243

Specialties & licenses 1

Addresses

Other names 1

• Premier Dental Partners Doing business as

Part of

Jay F Hauser DDS PC

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Shanta Paige, DMD

  • General Practice Dentistry
  • Fenton, MO
  • NPI 1760005474
  NPD (past)
• Michelle Pavlak-Hawkins, DMD

  • General Practice Dentistry
  • St. Louis, MO
  • NPI 1174672679
  NPD (past)
• Shea Aaron Wilson, DMD

  • Dentist
  • Fenton, MO
  • NPI 1265926620
  NPD (past)

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1083086466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 N EUCLID AVE",
            "address_2": "SUITE 220",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081407",
            "telephone_number": "314-367-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 GRAVOIS BLUFFS BLVD",
            "address_2": "SUITE C",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630267726",
            "telephone_number": "314-367-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY F. HAUSER, DDS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAY F. HAUSER, DDS, PC",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "HAUSER",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-367-1243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "014894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dental Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward V. Jacquin, P. T.
• Stephanie Jaderko, PHARM.D
• Sue E Jagler, MD
• Susan James, FNP
• Zaynab Jamil
• Jessica C. Nieva DDS P.C.
• JM Trans Express LLC
• Melissa D Johnson, DO
• Elizabeth Erin Jones, FNP
• Lauren Elizabeth Jones, DO

• Dentist in Fenton, MO
• Providers in Fenton, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.