Individual provider Active NPI

Jeffrey Tsai, DMD, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Saint Louis, MO
National Provider Identifier
1114361201
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
A162583 Issued in CA
Practice address
621 S New Ballas Rd Ste 16a
Saint Louis, MO 63141-8239
Phone
(314) 251-6725
NPI assigned
Apr 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X A162583 CA Primary

Addresses

Primary practice location

621 S New Ballas Rd Ste 16a
Saint Louis, MO 63141-8239

Mailing address

621 S New Ballas Rd Ste 16a
Saint Louis, MO 63141-8239
Phone (314) 251-6725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250509001639 MO Practitioner - Maxillofacial Surgery 2365711157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Surgical Arts LLCGroup PAC ID 5193132975, 7 clinicians

Practice addresses (Care Compare)

621 S New Ballas Rd
Suite 16a
Saint Louis, MO 63141-8239
Phone (314) 251-6725

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A162583CAMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Surgical Arts, LLC Oral & Maxillofacial Surgery CurrentSince Feb 1, 2025 Accepting new patients
Michael W. Noble, DMD, PC Past Accepting new patients
Clarkson Oral Surgery Past Accepting new patients
Rennie Cheung, DMD MD and Victor Ho DMD PastSince Aug 1, 2019 Accepting new patients

Locations

2997 Clarkson Rd
Ste 120
Chesterfield, MO 63017
Phone (636) 400-6725

60 E North St
Eureka, MO 63025
Phone (314) 251-6725

2747 W Clay St
Saint Charles, MO 63301
Phone (314) 862-0700

621 S New Ballas Rd
Ste 16A
Saint Louis, MO 63141
Phone (314) 251-6725

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

621 S New Ballas Rd
Ste 1
Saint Louis, MO 63141
Phone (314) 251-6725

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1114361201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 16A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418239",
            "telephone_number": "314-251-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 16A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418239",
            "telephone_number": "314-251-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAI",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-19",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "A162583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.