Archway Oral Surgery and Dental Implants

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ARCHWAY ORAL SURGERY AND DENTAL IMPLANTS

Practice address

16 Hampton Village PLZ Ste 200
Saint Louis, MO 63109-2128

Phone

(314) 328-5995

Fax

(314) 328-5996

NPI assigned

Dec 21, 2017

Last updated

Dec 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tyman Loveless, DMD, MDNPI 1578707568

Title

Owner / Surgeon

Phone

(314) 328-5995

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Tyman Loveless, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Saint Louis, MO
  • NPI 1578707568
  NPD (past) Authorized official
• David Ernst Hinkl, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Saint Louis, MO
  • NPI 1417514225
  NPD (past)

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1184130528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HAMPTON VILLAGE PLZ STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092128",
            "telephone_number": "314-328-5995",
            "fax_number": "314-328-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HAMPTON VILLAGE PLZ STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092128",
            "telephone_number": "314-328-5995",
            "fax_number": "314-328-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHWAY ORAL SURGERY AND DENTAL IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "LOVELESS",
        "authorized_official_first_name": "TYMAN",
        "authorized_official_title_or_position": "OWNER / SURGEON",
        "authorized_official_telephone_number": "314-328-5995",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Archview Ep LLC
• Archview Ep PLLC
• Archview ER & Hospital LLC
• Archway Endodontics LLC (Archway Endodontics)
• Archway Medical Supply Inc
• Archway Residential Care LLC
• Ronald Vincent Arconati, D.C.
• Ahmad Beheshti Ardekani, MD
• Shervin B Ardekani, MSW, LCSW
• Ardent Health STL LLC (Community Acupuncture of St. Louis)

• Oral and Maxillofacial Surgery (Dentist) in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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.