Active NPI
Gilbert J Cyr Jr., DDS
- Endodontics
- St Louis, MO
National Provider Identifier
1295125474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 014082
- Practice address
- 10777 Sunset Office Dr
Ste 100
St Louis, MO 63127 - Phone
- (314) 822-2210
- NPI assigned
- Jan 27, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 014082 | MO | Primary |
Addresses
Primary practice location
10777 Sunset Office Dr
Ste 100
St Louis, MO 63127
Mailing address
6651 Chippewa St
Ste 323
St Louis, MO 63109-2532
Phone (314) 781-1919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160719002282 | MO | Order and Referring Only - Oral Surgery | 1254624844 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014082 | MO | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Endodontics | Endodontics | Past | Accepting new patients |
| Southwest Endodontic Assoc. | Endodontics | Past | 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 and National Provider Directory roles.
-
- Endodontics
- St. Louis, MO
- NPI 1417218249
-
- Endodontics
- Saint Louis, MO
- NPI 1952471351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422316800000",
"number": "1295125474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6651 CHIPPEWA ST",
"address_2": "STE 323",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "631092532",
"telephone_number": "314-781-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10777 SUNSET OFFICE DR",
"address_2": "STE 100",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63127",
"telephone_number": "314-822-2210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CYR",
"first_name": "GILBERT",
"middle_name": "J",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-27",
"last_updated": "2015-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MO",
"license": "014082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.