Southampton Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SOUTHAMPTON DENTAL LLC

Practice address

1501 Hampton Avenue
St Louis, MO 63139

Phone

(314) 647-2828

Fax

(314) 647-2793

NPI assigned

Jun 23, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Katherine Elizabeth Weyhaupt

Title

Practice Manager

Phone

(314) 647-2828

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1285203265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 HAMPTON AVENUE",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63139",
            "telephone_number": "314-647-2828",
            "fax_number": "314-647-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 HAMPTON AVENUE",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63139",
            "telephone_number": "314-647-2828",
            "fax_number": "314-647-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHAMPTON DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "WEYHAUPT",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "314-647-2828",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katherine@southampton-dental.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1501 Hampton Avenue",
            "city": "St Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "63139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• South St. Louis Rehab Institute, Inc.
• South St. Louis Rehabilitation Institute, Inc.
• Isabelle Thala Reed South, PA
• Carmen J Southall-Wamhoff
• Southampton Community Healthcare Inc
• Southampton Healthcare Inc
• Kristopher Southard
• Richard Southard, MD
• Southern Home Care Services, Inc
• Southern Home Care Services, Inc.

• General Practice Dentistry in St Louis, MO
• Providers in St Louis, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.