NPIMap

Organization Active NPI

Timothy a Schaible DMD PC

  • General Practice Dentistry
  • Saint Louis, MO
National Provider Identifier
1255515995
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
014957 Issued in MO
Legal business name
TIMOTHY A SCHAIBLE DMD PC
Practice address
1544 Sierra Vista Plaza
St Louis, MO 63138
Phone
(314) 355-5700
Fax
(314) 355-5702
NPI assigned
Dec 18, 2007
Last updated
Dec 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Dr. Timothy A Schaible, DMDNPI 1902058290
Title
General Dentist Owner
Phone
(314) 355-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 014957 MO Primary

Addresses

Primary practice location

1544 Sierra Vista Plaza
St Louis, MO 63138

Mailing address

1544 Sierra Vista Plaza
St Louis, MO 63138
Phone (314) 355-5700

National Provider Directory

National Provider Directory
Tax ID family
Timothy a Schaible DMD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1255515995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 SIERRA VISTA PLAZA",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63138",
            "telephone_number": "314-355-5700",
            "fax_number": "314-355-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 SIERRA VISTA PLAZA",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63138",
            "telephone_number": "314-355-5700",
            "fax_number": "314-355-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY A SCHAIBLE DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "SCHAIBLE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "GENERAL DENTIST OWNER",
        "authorized_official_telephone_number": "314-355-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "014957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.