St. Charles County Orthodonctics West

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

13333 Issued in MO

Legal business name

ST. CHARLES COUNTY ORTHODONCTICS WEST

Practice address

1139 Wentzville Pkwy
Wentzville, MO 63385-3404

Phone

(636) 332-5550

Fax

(636) 332-4386

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Mark V Morrell, D.D.S

Title

Doctor

Phone

(636) 332-5550

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John J Sueme, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wentzville, MO
  • NPI 1346306222
  NPD (past)
• Adam Reynolds, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Madison, AL
  • NPI 1164977948
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245396134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 WENTZVILLE PKWY",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853404",
            "telephone_number": "636-332-5550",
            "fax_number": "636-332-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 WENTZVILLE PKWY",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853404",
            "telephone_number": "636-332-5550",
            "fax_number": "636-332-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CHARLES COUNTY ORTHODONCTICS WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRELL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "636-332-5550",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "13333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SSM Medical Group Inc.
• Ssmhealth
• St Charles West Psychological
• Russlyn St John
• St Peters Bone & Joint Surgery Inc.
• St. Charles Sports&Physical Therapy, Inc.
• St. Charles West Psychological
• St. Joseph'S Health Center Women'S and Children'S Services Clinic
• Jennifer Ann Staggs, FNP-BC
• Tabbatha Stanton, LPC

• Orthodontics and Dentofacial Orthopedics Dentistry in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.