Active NPI
Virginia Ann Mennemeyer, DDS, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Troy, MO
National Provider Identifier
1144238866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DE 016096
- Practice address
- 91 Troy SQ
Suite 203
Troy, MO 63379-3108 - Phone
- (636) 528-2141
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DE 016096 | MO | Primary |
Addresses
Primary practice location
91 Troy SQ
Suite 203
Troy, MO 63379-3108
Mailing address
91 Troy SQ
Suite 203
Troy, MO 63379-3108
Phone (636) 528-2141
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE 016096 | MO | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1144238866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 TROY SQ",
"address_2": "SUITE 203",
"city": "TROY",
"state": "MO",
"postal_code": "633793108",
"telephone_number": "636-528-2141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 TROY SQ",
"address_2": "SUITE 203",
"city": "TROY",
"state": "MO",
"postal_code": "633793108",
"telephone_number": "636-528-2141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENNEMEYER",
"first_name": "VIRGINIA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MO",
"license": "DE 016096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.