NPIMap

Organization Active NPI

Lifetime Dental Care of Missouri, Richard Straus, D.M.D., P.C.

Doing business as Premier Dental Partners O'Fallon

  • General Practice Dentistry
  • O'Fallon, MO
National Provider Identifier
1285777839
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LIFETIME DENTAL CARE OF MISSOURI, RICHARD STRAUS, D.M.D., P.C.
Doing business as
Premier Dental Partners O'Fallon
Practice address
1630 Market Center Blvd
O'Fallon, MO 63304
Phone
(636) 978-8895
Fax
(636) 978-5936
NPI assigned
Feb 14, 2007
Last updated
May 12, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
LIFETIME DENTAL CARE OF MISSOURI, RICHARD STRAUS, D.M.D., P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Celia Hayes
Title
Credentialing Coordinator
Phone
(217) 540-2100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1630 Market Center Blvd
O'Fallon, MO 63304

Mailing address

1630 Market Center Blvd Ste 100
O Fallon, MO 63368-8407
Phone (636) 300-4380

Other names 1

  • Premier Dental Partners O'Fallon Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sheldon C Cohen DMD PC Dba Premier Dental Partners15 organizations share this tax ID, including this one
Part of
Sheldon C Cohen DMD PC Dba Premier Dental Partners

Other organizations with this tax ID 14

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

View all 14

Locations

1630 Market Center Blvd
O Fallon, MO 63368
Phone (636) 244-8248

1630 Market Center Blvd
Ste 100
O Fallon, MO 63368
Phone (636) 300-4380

Practitioners & affiliated clinicians

Practitioners 4

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1285777839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 MARKET CENTER BLVD STE 100",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688407",
            "telephone_number": "636-300-4380",
            "fax_number": "636-300-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MARKET CENTER BLVD",
            "city": "O'FALLON",
            "state": "MO",
            "postal_code": "63304",
            "telephone_number": "636-978-8895",
            "fax_number": "636-978-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME DENTAL CARE OF MISSOURI, RICHARD STRAUS, D.M.D., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFETIME DENTAL CARE OF MISSOURI, RICHARD STRAUS, D.M.D., P.C.",
        "enumeration_date": "2007-02-14",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dental Partners O'Fallon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in O'Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.