NPIMap

Organization Active NPI

Nikodem Dental Holdings, Inc.

Doing business as Nikodem Dental St. Charles

  • Dental Clinic/Center
  • Saint Charles, MO
National Provider Identifier
1255085775
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NIKODEM DENTAL HOLDINGS, INC.
Doing business as
Nikodem Dental St. Charles
Practice address
2043 S Old Highway 94
Saint Charles, MO 63303-3724
Phone
(636) 949-0600
NPI assigned
Feb 4, 2022
Last updated
Feb 4, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
NIKODEM DENTAL HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Authorized official

Name
Hannah Meeks
Title
Ar Specialist
Phone
(618) 977-6931

Specialties & licenses 1

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

Addresses

Primary practice location

2043 S Old Highway 94
Saint Charles, MO 63303-3724

Mailing address

6220 S Lindbergh Blvd Ste 101
Saint Louis, MO 63123-7839
Phone (314) 732-4591

Other names 1

  • Nikodem Dental St. Charles Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nikodem Dental Holdings Inc9 organizations share this tax ID, including this one
Part of
Nikodem Dental Holdings Inc

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1255085775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 S LINDBERGH BLVD STE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237839",
            "telephone_number": "314-732-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2043 S OLD HIGHWAY 94",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033724",
            "telephone_number": "636-949-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKODEM DENTAL HOLDINGS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NIKODEM DENTAL HOLDINGS, INC.",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "MEEKS",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "AR SPECIALIST",
        "authorized_official_telephone_number": "618-977-6931"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nikodem Dental St. Charles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.