Active NPI
Azadeh Eslami Amin, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Saint Louis, MO
National Provider Identifier
1164860490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- V177181001
- Practice address
- 3320 Rutger St
Saint Louis, MO 63104-1122 - Phone
- (314) 977-8363
- NPI assigned
- Jun 9, 2013
- Last updated
- Jun 9, 2013
- 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 | V177181001 | MO | Primary |
Addresses
Primary practice location
3320 Rutger St
Saint Louis, MO 63104-1122
Mailing address
1520 Washington Ave
Apt. 710
Saint Louis, MO 63103-1840
Phone (810) 333-3930
Other names 1
- Dr. Azadeh Eslami
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 |
|---|---|---|---|
| V177181001 | MO | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smile in Style PLLC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Locations
2515 S Lakeline Blvd
Cedar Park, TX 78613
Phone (214) 346-0450
Organizations & group practices 1
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Cedar Park, TX
- NPI 1043984834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370736000000",
"number": "1164860490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 WASHINGTON AVE",
"address_2": "APT. 710",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631031840",
"telephone_number": "810-333-3930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 RUTGER ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631041122",
"telephone_number": "314-977-8363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESLAMI AMIN",
"first_name": "AZADEH",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-09",
"last_updated": "2013-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MO",
"license": "V177181001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AZADEH",
"last_name": "ESLAMI",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.