Organization Active NPI

Meramec Valley Dental, Laura Hoover, DMD

  • Dentist
  • Valley Park, MO
National Provider Identifier
1255454146
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE 15732 Issued in MO
Legal business name
MERAMEC VALLEY DENTAL, LAURA HOOVER, DMD
Practice address
298 Vance Rd
Suite 100
Valley Park, MO 63088-1597
Phone
(636) 861-0807
Fax
(636) 825-7040
NPI assigned
Apr 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Laura Maxine Hoover, D.M.D.NPI 1093838989
Title
Dentist
Phone
(636) 861-0807

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE 15732 MO Primary

Addresses

Primary practice location

298 Vance Rd
Suite 100
Valley Park, MO 63088-1597

Mailing address

298 Vance Rd
Suite 100
Valley Park, MO 63088-1597
Phone (636) 861-0807

National Provider Directory

National Provider Directory

Locations

298 Vance Rd
Ste 100
Valley Park, MO 63088
Phone (636) 861-0807

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255454146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 VANCE RD",
            "address_2": "SUITE 100",
            "city": "VALLEY PARK",
            "state": "MO",
            "postal_code": "630881597",
            "telephone_number": "636-861-0807",
            "fax_number": "636-825-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 VANCE RD",
            "address_2": "SUITE 100",
            "city": "VALLEY PARK",
            "state": "MO",
            "postal_code": "630881597",
            "telephone_number": "636-861-0807",
            "fax_number": "636-825-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERAMEC VALLEY DENTAL, LAURA HOOVER, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "MAXINE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "636-861-0807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "DE 15732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Park, MO

Sources for this page

  • 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.