Active NPI
Charles Frederick Genthe, D.M.D.
- General Practice Dentistry
- Saint Louis, MO
National Provider Identifier
1265456313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 012456
- Practice address
- 915 N. Grand
St. Louis, MO 63103 - Phone
- (314) 894-6565
- NPI assigned
- Jul 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 012456 | MO | Primary |
Addresses
Primary practice location
915 N. Grand
St. Louis, MO 63103
Mailing address
51 Queensbrook PL
Saint Louis, MO 63132-3018
Phone (314) 432-1189
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012456 | MO | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265456313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 QUEENSBROOK PL",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631323018",
"telephone_number": "314-432-1189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 N. GRAND",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63103",
"telephone_number": "314-894-6565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTHE",
"first_name": "CHARLES",
"middle_name": "FREDERICK",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "012456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
- Leslie Martyn Gennari, LCSW, LMFT
- Genoa Healthcare LLC
- Genoa Healthcare LLC
- Ryan Timothy Gensler, MD
- Kevin Gerard Gentemann, D.C.
- Brynn Noel Gentile, AUD
- Gentiva Certified Healthcare Corp (Gentiva Health Services)
- Gentle Gaines Home Health LLC
- Gentle Hands Home Care, LLC
- Gentle Heart Home Health Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.