NPIMap

Organization Active NPI

Missouri Dental Professionals, Richard Straus, DMD, PC

Doing business as My St. Peters Dentist

  • General Practice Dentistry
  • Saint Peters, MO
National Provider Identifier
1194954891
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
014764 Issued in MO
Legal business name
MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, DMD, PC
Doing business as
My St. Peters Dentist
Practice address
100 Piper Hill Dr
Saint Peters, MO 63376-1616
Phone
(636) 477-1000
Fax
(636) 477-8962
NPI assigned
Jul 2, 2009
Last updated
Apr 25, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, DMD, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Authorized official

Name
Kendra Walker
Title
Credentialing Team Lead
Phone
(217) 540-8513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 014764 MO Primary

Addresses

Primary practice location

100 Piper Hill Dr
Saint Peters, MO 63376-1616

Mailing address

100 Piper Hill Dr
Saint Peters, MO 63376-1616
Phone (636) 477-1000

Other names 1

  • My St. Peters Dentist Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heartland Family Dental Care of Missouri - Richard E Workman DMD PC60 organizations share this tax ID, including this one
Part of
Heartland Family Dental Care of Missouri - Richard E Workman DMD PC

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

Locations

100 Piper Hill Dr
Saint Peters, MO 63376
Phone (636) 928-3937

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1194954891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PIPER HILL DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761616",
            "telephone_number": "636-477-1000",
            "fax_number": "636-477-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PIPER HILL DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761616",
            "telephone_number": "636-477-1000",
            "fax_number": "636-477-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, DMD, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, DMD, PC",
        "enumeration_date": "2009-07-02",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "CREDENTIALING TEAM LEAD",
        "authorized_official_telephone_number": "217-540-8513"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "014764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My St. Peters Dentist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My St. Peters Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.