Organization Active NPI

Jefferson County Dental

  • Dentist
  • Arnold, MO
National Provider Identifier
1245565720
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2003007081 Issued in MO
Legal business name
JEFFERSON COUNTY DENTAL
Practice address
1333 W Outer 21 Rd
Arnold, MO 63010-3239
Phone
(636) 296-2616
Fax
(636) 269-9017
NPI assigned
Oct 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Authorized official

Name
Dr. Steven Paul Cajigal, DDS
Title
Dentist
Phone
(636) 296-2616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2003007081 MO Primary

Addresses

Primary practice location

1333 W Outer 21 Rd
Arnold, MO 63010-3239

Mailing address

1333 W Outer 21 Rd
Arnold, MO 63010-3239
Phone (636) 296-2616

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1245565720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 W OUTER 21 RD",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630103239",
            "telephone_number": "636-296-2616",
            "fax_number": "636-296-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 W OUTER 21 RD",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630103239",
            "telephone_number": "636-296-2616",
            "fax_number": "636-269-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "CAJIGAL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "636-296-2616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "2003007081",
            "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 Oct 16, 2009; 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.