NPIMap

Organization Active NPI

Allen Sclaroff DDS Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Saint Louis, MO
National Provider Identifier
1114190220
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
012170 Issued in MO
Legal business name
ALLEN SCLAROFF DDS INC
Practice address
1 Barnes Jewish Hospital PLZ
Suite 16432
Saint Louis, MO 63110-1003
Phone
(314) 361-6006
Fax
(314) 631-6599
NPI assigned
Apr 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Dr. Allen Sclaroff, DDS
Title
Owner
Phone
(314) 453-9705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 012170 MO Primary

Addresses

Primary practice location

1 Barnes Jewish Hospital PLZ
Suite 16432
Saint Louis, MO 63110-1003

Mailing address

1040 N Mason
Suite 207
Creve Coeur, MO 63141
Phone (314) 453-9705

Other identifiers 1

IdentifierTypeStateIssuer
6554MedicaidMO

Other names 1

  • University Oral & Maxillofacial Surgery Other name

National Provider Directory

National Provider Directory

Locations

1 Barnes Jewish Hospital Plz
Ste 16432
Saint Louis, MO 63110
Phone (314) 361-6006

1 Barnes Jewish Hospital Plz
Ste 6104
Saint Louis, MO 63110
Phone (314) 361-6006

Practitioners & affiliated clinicians

Practitioners 6

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": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1114190220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 N MASON",
            "address_2": "SUITE 207",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "63141",
            "telephone_number": "314-453-9705",
            "fax_number": "314-453-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARNES JEWISH HOSPITAL PLZ",
            "address_2": "SUITE 16432",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101003",
            "telephone_number": "314-361-6006",
            "fax_number": "314-631-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN SCLAROFF DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "SCLAROFF",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-453-9705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "012170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6554",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Oral & Maxillofacial Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 23, 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.