Active NPI
Arch Dentistry
- Durable Medical Equipment & Medical Supplies
- Hazelwood, MO
National Provider Identifier
1194367789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ARCH DENTISTRY
- Practice address
- 807 Hazelwest Dr
Hazelwood, MO 63042-1748 - Phone
- (636) 489-9330
- NPI assigned
- Oct 15, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sonu Muthuvalliappan, DMD
- Title
- Owner Dentist
- Phone
- (314) 764-5312
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
807 Hazelwest Dr
Hazelwood, MO 63042-1748
Mailing address
807 Hazelwest Dr
Hazelwood, MO 63042-1748
Phone (636) 489-9330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Other names 1
- Arch Dentistry
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | contact@archdentistry.com | Direct |
National Provider Directory
National Provider DirectoryLocations
807 Hazelwest Dr
Hazelwood, MO 63042
Phone (314) 731-0110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571097600000",
"number": "1194367789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 HAZELWEST DR",
"city": "HAZELWOOD",
"state": "MO",
"postal_code": "630421748",
"telephone_number": "636-489-9330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 HAZELWEST DR",
"city": "HAZELWOOD",
"state": "MO",
"postal_code": "630421748",
"telephone_number": "636-489-9330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARCH DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-15",
"last_updated": "2019-10-15",
"status": "A",
"authorized_official_last_name": "MUTHUVALLIAPPAN",
"authorized_official_first_name": "SONU",
"authorized_official_title_or_position": "OWNER DENTIST",
"authorized_official_telephone_number": "314-764-5312",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "contact@archdentistry.com",
"affiliation": "N",
"endpointDescription": "email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "807 Hazelwest Dr",
"city": "Hazelwood",
"state": "MO",
"country_code": "US",
"postal_code": "630421748",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Arch Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hazelwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.