Individual provider Active NPI

Keeley Suzanne Treece, DDS

  • General Practice Dentistry
  • Saint Louis, MO
National Provider Identifier
1083227482
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2020025100 Issued in MO
Practice address
10745 Sunset Hills PLZ
Saint Louis, MO 63127-1207
Phone
(314) 821-6800
NPI assigned
Aug 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2020025100 MO Primary

Addresses

Primary practice location

10745 Sunset Hills PLZ
Saint Louis, MO 63127-1207

Mailing address

10745 Sunset Hills PLZ
Saint Louis, MO 63127-1207
Phone (314) 821-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2020025100MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sainy Ali Adel DDS LLC General Practice CurrentSince Feb 25, 2024 Accepting new patients
Jamie L. Thurman-Taylor, D.D.S., LLC General Practice PastSince Aug 1, 2020 Accepting new patients
Mark E. Hartter, D.D.S., P.C. PastSince Aug 1, 2020 Accepting new patients

Locations

10745 Sunset Hills Plz
Saint Louis, MO 63127
Phone (314) 821-6800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1083227482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10745 SUNSET HILLS PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271207",
            "telephone_number": "314-821-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10745 SUNSET HILLS PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271207",
            "telephone_number": "314-821-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREECE",
        "first_name": "KEELEY",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2020025100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 21, 2024; 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.