Organization Active NPI

Susan E. Litteken, D.D.S., P.C.

  • General Practice Dentistry
  • St. Charles, MO
National Provider Identifier
1083853287
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN 015234 Issued in MO
Legal business name
SUSAN E. LITTEKEN, D.D.S., P.C.
Practice address
928 First Capitol Drive
St. Charles, MO 63301-2734
Phone
(636) 724-0220
NPI assigned
Feb 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
Dr. Susan E. Litteken, D.D.S.NPI 1366643512
Title
President
Phone
(636) 724-0220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DEN 015234 MO Primary

Addresses

Primary practice location

928 First Capitol Drive
St. Charles, MO 63301-2734

Mailing address

928 First Capitol Drive
St. Charles, MO 63301-2734
Phone (636) 724-0220

National Provider Directory

National Provider Directory

Locations

928 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 724-0220

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1083853287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 FIRST CAPITOL DRIVE",
            "city": "ST. CHARLES",
            "state": "MO",
            "postal_code": "633012734",
            "telephone_number": "636-724-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 FIRST CAPITOL DRIVE",
            "city": "ST. CHARLES",
            "state": "MO",
            "postal_code": "633012734",
            "telephone_number": "636-724-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN E. LITTEKEN, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "LITTEKEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-724-0220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "DEN 015234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.