Individual provider Active NPI

Andrea Monestero, D.D.S.

  • Dentist
  • Saint Louis, MO
National Provider Identifier
1194162099
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.029458 Issued in IL
Practice address
10000 Watson Rd
Suite J
Saint Louis, MO 63126-1841
Phone
(314) 821-2134
NPI assigned
May 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.029458 IL Primary

Addresses

Primary practice location

10000 Watson Rd
Suite J
Saint Louis, MO 63126-1841

Mailing address

6232 Southwood Ave
Unit #1
Saint Louis, MO 63105-3246
Phone (618) 954-9034

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.029458ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Crestwood Dental Group Maxwell DMD PC Dentist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1194162099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6232 SOUTHWOOD AVE",
            "address_2": "UNIT #1",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053246",
            "telephone_number": "618-954-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 WATSON RD",
            "address_2": "SUITE J",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261841",
            "telephone_number": "314-821-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONESTERO",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.029458",
            "primary": true
        }
    ],
    "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 Jan 7, 2016; 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.