Individual provider Active NPI

Alexander Ray Oldroyd, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wentzville, MO
National Provider Identifier
1265671788
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2010006310 Issued in MO
Practice address
1051 West Pearce Boulevard
Wentzville, MO 63385-1019
Phone
(636) 332-2350
Fax
(636) 332-1357
NPI assigned
Feb 5, 2009
Last updated
Mar 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 021.002847 IL
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 2010006310 MO Primary

Addresses

Primary practice location

1051 West Pearce Boulevard
Wentzville, MO 63385-1019

Mailing address

1051 West Pearce Boulevard
Wentzville, MO 63385-1019
Phone (636) 332-2350

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

LicenseStateTypeSpecialty
021.002847ILMDOrthodontics and Dentofacial Orthopedic Dentist
2010006310MOMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Wentzville Orthodontics Orthodontics and Dentofacial Orthopedics PastSince Mar 24, 2024 Accepting new patients
Bankhead Alton Orthodontics PC Orthodontics and Dentofacial Orthopedics PastSince Feb 16, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1265671788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 WEST PEARCE BOULEVARD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633851019",
            "telephone_number": "636-332-2350",
            "fax_number": "636-332-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 WEST PEARCE BOULEVARD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633851019",
            "telephone_number": "636-332-2350",
            "fax_number": "636-332-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDROYD",
        "first_name": "ALEXANDER",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-05",
        "last_updated": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021.002847",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "2010006310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wentzville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.