Advantica Administrative Services, Inc.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

ADVANTICA ADMINISTRATIVE SERVICES, INC.

Practice address

12399 Gravois Rd
2ND Floor
Saint Louis, MO 63127-1750

Phone

(314) 543-4900

NPI assigned

Apr 21, 2014

Last updated

Apr 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Barbara C. Bentrup

Title

Chief Financial Officer

Phone

(314) 656-2720

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1225458953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12399 GRAVOIS RD",
            "address_2": "2ND FLOOR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271750",
            "telephone_number": "314-543-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12399 GRAVOIS RD",
            "address_2": "2ND FLOOR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271750",
            "telephone_number": "314-543-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTICA ADMINISTRATIVE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-21",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "BENTRUP",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "314-656-2720",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.