Active NPI
Kristin Nicole Lemaitre, D.D.S.
- Dentist
- Wentzville, MO
National Provider Identifier
1134482862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2011020714
- Practice address
- 1000 Schroeder Creek Blvd
Wentzville, MO 63385-3558 - Phone
- (636) 332-4975
- Fax
- (636) 332-4423
- NPI assigned
- Jun 18, 2012
- Last updated
- Jun 18, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2011020714 | MO | Primary |
Addresses
Primary practice location
1000 Schroeder Creek Blvd
Wentzville, MO 63385-3558
Mailing address
2326 Hickory St
Saint Louis, MO 63104-2419
Phone (205) 566-6300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011020714 | MO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339977600000",
"number": "1134482862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2326 HICKORY ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631042419",
"telephone_number": "205-566-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 SCHROEDER CREEK BLVD",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633853558",
"telephone_number": "636-332-4975",
"fax_number": "636-332-4423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMAITRE",
"first_name": "KRISTIN",
"middle_name": "NICOLE",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-18",
"last_updated": "2012-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2011020714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wentzville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.