Organization Active NPI

Op Orthodontics of Missouri

Doing business as Moshiri Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Saint Louis, MO
National Provider Identifier
1093463184
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
OP ORTHODONTICS OF MISSOURI
Doing business as
Moshiri Orthodontics
Practice address
221 N. Lindbergh Blvd
St. Louis, MO 63141
Phone
(314) 427-2237
NPI assigned
Mar 17, 2022
Last updated
Jun 28, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ORTHODONTIC PARTNERS OF MISSOURIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Stacy Pope
Title
Project Manager
Phone
(616) 283-8867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

221 N. Lindbergh Blvd
St. Louis, MO 63141

Mailing address

5300 Patterson Ave SE Ste 110
Grand Rapids, MI 49512-9758
Phone (616) 283-8867

Other practice location 1

777 S New Ballas Rd Ste 116E
Saint Louis, MO 63141-8716
Phone (314) 427-2237

Other names 1

  • Moshiri Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Op Orthodontics of Missouri3 organizations share this tax ID, including this one
Part of
Op Orthodontics of Missouri

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

777 S New Ballas Rd
Ste 116E
Saint Louis, MO 63141
Phone (314) 427-2237

221 N Lindbergh Blvd
St. Louis, MO 63141
Phone (314) 427-2237

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1093463184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 PATTERSON AVE SE STE 110",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495129758",
            "telephone_number": "616-283-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N. LINDBERGH BLVD",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63141",
            "telephone_number": "314-427-2237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 S New Ballas Rd Ste 116E",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418716",
            "country_code": "US",
            "telephone_number": "314-427-2237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OP ORTHODONTICS OF MISSOURI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHODONTIC PARTNERS OF MISSOURI",
        "enumeration_date": "2022-03-17",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "616-283-8867"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moshiri Orthodontics",
            "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 Jun 28, 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.