Individual provider Active NPI

Thierry Papazian, DMD

  • General Practice Dentistry
  • Creve Coeur, MO
National Provider Identifier
1154164960
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2025048569 Issued in MO
Practice address
605 Old Ballas Rd Ste 118
Creve Coeur, MO 63141-7070
Phone
(314) 948-8213
NPI assigned
Jun 18, 2024
Last updated
Feb 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2025048569 MO Primary
General Practice Dentistry 1223G0001X 019035217 IL

Addresses

Primary practice location

605 Old Ballas Rd Ste 118
Creve Coeur, MO 63141-7070

Mailing address

111 N Main St
Breese, IL 62230-1629
Phone (618) 526-2020

Other practice location 1

10 Apex Dr Ste 2
Highland, IL 62249-1296
Phone (618) 654-2080

Other practice location 2

111 N Main St
Breese, IL 62230-1629
Phone (618) 526-2020

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

LicenseStateTypeSpecialty
019035217ILMDGeneral Practice Dentistry
2025048569MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Family Dentistry PC Past Accepting new patients
Droege and Santel PLLC Past Accepting new patients
Breese Dental Care, PC PastSince Jun 23, 2024 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1154164960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N MAIN ST",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622301629",
            "telephone_number": "618-526-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 OLD BALLAS RD STE 118",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417070",
            "telephone_number": "314-948-8213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Apex Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IL",
            "postal_code": "622491296",
            "country_code": "US",
            "telephone_number": "618-654-2080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 N Main St",
            "address_purpose": "LOCATION",
            "city": "Breese",
            "state": "IL",
            "postal_code": "622301629",
            "country_code": "US",
            "telephone_number": "618-526-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPAZIAN",
        "first_name": "THIERRY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-18",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2025048569",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019035217",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.