NPIMap

Organization Active NPI

Ozarks Family Dentistry LLC

Doing business as Meramec Family Dentistry

  • General Practice Dentistry
  • Arnold, MO
National Provider Identifier
1285984013
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2006012741 Issued in MO
Legal business name
OZARKS FAMILY DENTISTRY LLC
Doing business as
Meramec Family Dentistry
Practice address
1333 W Outer 21 Rd
Arnold., MO 63010
Phone
(870) 580-0521
NPI assigned
Sep 19, 2012
Last updated
Oct 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Authorized official

Name
Rebecca Lowden
Title
Operations Director
Phone
(870) 580-0521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2006012741 MO Primary

Addresses

Primary practice location

1333 W Outer 21 Rd
Arnold., MO 63010

Mailing address

1333W Outer 21 Road
Arnold, MO 63010

Other identifiers 2

IdentifierTypeStateIssuer
1891704193MedicaidMO
1215241005MedicaidMO

Other names 1

  • Meramec Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ozarks Family Dentistry LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1285984013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333W OUTER 21 ROAD",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "63010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 W OUTER 21 RD",
            "city": "ARNOLD.",
            "state": "MO",
            "postal_code": "63010",
            "telephone_number": "870-580-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARKS FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "LOWDEN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "870-580-0521"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2006012741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891704193",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215241005",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meramec Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arnold, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.