Organization Active NPI

Ikhlaq-Rosinski Dental Partners DDS PC

  • Dental Clinic/Center
  • Saint Peters, MO
National Provider Identifier
1104388974
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
IKHLAQ-ROSINSKI DENTAL PARTNERS DDS PC
Practice address
4125 Mexico Rd
Saint Peters, MO 63376-6410
Phone
(312) 800-1270
NPI assigned
Apr 2, 2019
Organization subpart
Yes
Parent organization
IKHLAQ-ROSINSKI DENTAL PARTNERS DDS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Authorized official

Name
Roseanne Brunenkant
Title
Director of Integrations
Phone
(312) 937-3619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4125 Mexico Rd
Saint Peters, MO 63376-6410

Mailing address

141 W Jackson Blvd Ste 210
Chicago, IL 60604-3048
Phone (312) 937-3619

Other names 1

  • Comprehensive Family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Edp of Missouri PC2 organizations share this tax ID, including this one
Part of
Edp of Missouri PC

Other organizations with this tax ID 1

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

Locations

4125 Mexico Rd
Saint Peters, MO 63376
Phone (636) 441-6110

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1104388974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 W JACKSON BLVD STE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043048",
            "telephone_number": "312-937-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 MEXICO RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766410",
            "telephone_number": "312-800-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IKHLAQ-ROSINSKI DENTAL PARTNERS DDS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IKHLAQ-ROSINSKI DENTAL PARTNERS DDS PC",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "BRUNENKANT",
        "authorized_official_first_name": "ROSEANNE",
        "authorized_official_title_or_position": "DIRECTOR OF INTEGRATIONS",
        "authorized_official_telephone_number": "312-937-3619"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Comprehensive Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.