NPIMap

Organization Active NPI

Dental Professionals of Missouri, Richard Straus, D.M.D., P.C.

  • General Practice Dentistry
  • Saint Robert, MO
National Provider Identifier
1164027306
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL PROFESSIONALS OF MISSOURI, RICHARD STRAUS, D.M.D., P.C.
Practice address
316 Saint Robert Blvd
Saint Robert, MO 65584-3363
Phone
(573) 336-2536
NPI assigned
Dec 4, 2020
Organization subpart
Yes
Parent organization
HEARTLAND DENTALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Authorized official

Name
Jessica Britt
Title
Credentialing Coordinator
Phone
(217) 540-8426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

316 Saint Robert Blvd
Saint Robert, MO 65584-3363

Mailing address

316 Saint Robert Blvd
Saint Robert, MO 65584-3363

Other names 1

  • Forum Dental - St. Robert Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Professionals of Missouri Richard Straus DMD PC4 organizations share this tax ID, including this one
Part of
Dental Professionals of Missouri Richard Straus DMD PC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

316 Saint Robert Blvd
Saint Robert, MO 65584
Phone (573) 336-2536

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1164027306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 SAINT ROBERT BLVD",
            "city": "SAINT ROBERT",
            "state": "MO",
            "postal_code": "655843363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 SAINT ROBERT BLVD",
            "city": "SAINT ROBERT",
            "state": "MO",
            "postal_code": "655843363",
            "telephone_number": "573-336-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PROFESSIONALS OF MISSOURI, RICHARD STRAUS, D.M.D., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEARTLAND DENTAL",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "BRITT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-8426"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forum Dental - St. Robert",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Robert, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.