Active NPI
Thierry Papazian, DMD
- General Practice Dentistry
- Creve Coeur, MO
National Provider Identifier
1154164960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2025048569
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 019035217 | IL | MD | General Practice Dentistry |
| 2025048569 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Family Dentistry PC | Past | Accepting new patients | |
| Droege and Santel PLLC | Past | Accepting new patients | |
| Breese Dental Care, PC | Past | 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.
-
- Dental Clinic/Center
- Breese, IL
- NPI 1942753215
-
- Dentist
- Highland, IL
- NPI 1437539350
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
- Ortho Sport & Spine Physicians of Missouri, LLC
- Ortho Sport and Spine Physicians St. Louis
- Orthopedic Ambulatory Surgery Center of Chesterfield, LLC
- Orthotic and Prosthetic Lab, Inc
- Huntington Overley, D.C.
- Parc Provence Management, L.L.C. (Parc Provence)
- Robin S Park, MD
- Parkcrest Orthopedics, LLC
- Jose Marino Parra, MD
- Novalee Patel, PT, DPT
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.