Organization Active NPI

Jonathan T. Mears D.M.D., LLC

  • Dental Clinic/Center
  • Arnold, MO
National Provider Identifier
1205081379
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2007010353 Issued in MO
Legal business name
JONATHAN T. MEARS D.M.D., LLC
Practice address
1904 Richardson Rd
Arnold, MO 63010-6012
Phone
(636) 464-6668
NPI assigned
Nov 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Authorized official

Name
Dr. Jonathan T Mears, D.M.D
Title
Dentist
Phone
(636) 464-6668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2007010353 MO Primary

Addresses

Primary practice location

1904 Richardson Rd
Arnold, MO 63010-6012

Mailing address

1904 Richardson Rd
Arnold, MO 63010-6012
Phone (636) 464-6668

National Provider Directory

National Provider Directory

Locations

1904 Richardson Rd
Arnold, MO 63010
Phone (636) 464-6668

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1205081379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 RICHARDSON RD",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630106012",
            "telephone_number": "636-464-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 RICHARDSON RD",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630106012",
            "telephone_number": "636-464-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN T. MEARS D.M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "MEARS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "636-464-6668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "2007010353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.