NPIMap

Organization Active NPI

Wolken Dental

  • General Practice Dentistry
  • St. Louis, MO
National Provider Identifier
1104929710
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
012119 Issued in MO
Legal business name
WOLKEN DENTAL
Practice address
8888 Ladue Rd
Ste 200
St. Louis, MO 63124
Phone
(314) 727-6676
Fax
(314) 721-0930
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Ms. Dawn M. Picard
Title
Office Manager
Phone
(314) 727-6676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 012119 MO Primary

Addresses

Primary practice location

8888 Ladue Rd
Ste 200
St. Louis, MO 63124

Mailing address

8888 Ladue Rd.
Ste. 200
St. Louis, MO 63124
Phone (314) 727-6676

National Provider Directory

National Provider Directory

Locations

8888 Ladue Rd
Ste 200
Saint Louis, MO 63124
Phone (314) 727-6676

Practitioners & affiliated clinicians

Practitioners 3

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": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1104929710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8888 LADUE RD.",
            "address_2": "STE. 200",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63124",
            "telephone_number": "314-727-6676",
            "fax_number": "314-721-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8888 LADUE RD",
            "address_2": "STE 200",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63124",
            "telephone_number": "314-727-6676",
            "fax_number": "314-721-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLKEN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "PICARD",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-727-6676",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "012119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.