Organization Active NPI

Arch Dentistry

  • Durable Medical Equipment & Medical Supplies
  • Hazelwood, MO
National Provider Identifier
1194367789
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Oct 15, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NONEOtherNONE

Other names 1

  • Arch Dentistry Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address contact@archdentistry.com Direct

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.