Organization Active NPI

Louise R First DMD PC

  • Dentist
  • Saint Louis, MO
National Provider Identifier
1174619514
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
015538 Issued in MO
Legal business name
LOUISE R FIRST DMD PC
Practice address
77 W Port PLZ Ste 205
Saint Louis, MO 63146-3121
Phone
(314) 837-2120
Fax
(314) 838-8400
NPI assigned
Oct 5, 2006
Last updated
Oct 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Authorized official

Name
Dr. Louise Roberta First, DMDNPI 1104066604
Title
Dentist
Phone
(314) 837-2120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 015538 MO Primary
Dentist 122300000X 015538 IL
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

77 W Port PLZ Ste 205
Saint Louis, MO 63146-3121

Mailing address

77 W Port PLZ Ste 205
Saint Louis, MO 63146-3121
Phone (314) 837-2120

National Provider Directory

National Provider Directory

Locations

4585 Washington St
Ste C2
Florissant, MO 63033

77 West Port Plz
Ste 205
Saint Louis, MO 63146
Phone (314) 837-2120

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1174619514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W PORT PLZ STE 205",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463121",
            "telephone_number": "314-837-2120",
            "fax_number": "314-838-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W PORT PLZ STE 205",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463121",
            "telephone_number": "314-837-2120",
            "fax_number": "314-838-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISE R FIRST DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "FIRST",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "ROBERTA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "314-837-2120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "015538",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "015538",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 20, 2021; 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.