Plaza Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2013009439 Issued in MO

Legal business name

PLAZA ORTHODONTICS

Practice address

14560 Manchester Rd
# 24
Ballwin, MO 63011-3933

Phone

(636) 230-9933

Fax

(636) 230-8467

NPI assigned

Jun 24, 2015

Last updated

Jun 24, 2015By 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

Dr. Senthil Nathan Arun, BDS,DMD,MSD, PH D

Title

Orthodontist

Phone

(636) 232-9933

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1245612332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14560 MANCHESTER RD",
            "address_2": "STE 24",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113933",
            "telephone_number": "636-230-9933",
            "fax_number": "636-230-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14560 MANCHESTER RD",
            "address_2": "# 24",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113933",
            "telephone_number": "636-230-9933",
            "fax_number": "636-230-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "ARUN",
        "authorized_official_first_name": "SENTHIL",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "636-232-9933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS,DMD,MSD, PH D"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "2013009439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew J Phillips, DPT
• Physical Therapy Spine & Sports Medicine LLC (CORA Physical Therapy - Ballwin)
• Amanda Pickett
• Jerry M Pierson, PT
• Elizabeth Pitcher, OTR/L
• Nishant Poddar, MD
• Polished - Melissa a Smith DDS PC
• Kevin Ferguson Postol, DDS
• Preferred Hospice of Missouri Northeast LLC (Preferred Hospice)
• Premier Healthcare STL LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Ballwin, MO
• Providers in Ballwin, 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 Jun 24, 2015; 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.