Joseph F. Kallial, D.M.D. LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

015599 Issued in MO

Legal business name

JOSEPH F. KALLIAL, D.M.D. LLC

Practice address

5960 Howdershell Rd
Suite 202
Hazelwood, MO 63042-4100

Phone

(314) 731-5155

Fax

(314) 731-2321

NPI assigned

May 1, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Francis Kallial, D.M.D.NPI 1245306802

Title

President/Owner

Phone

(314) 731-5155

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Francis Kallial, D.M.D.

  • General Practice Dentistry
  • Hazelwood, MO
  • NPI 1245306802
  NPD (past) Authorized official
• Joseph Thomas Kallial, DDS

  • General Practice Dentistry
  • Hazelwood, MO
  • NPI 1538263249
  NPD (past)

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1306012174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 HOWDERSHELL RD",
            "address_2": "SUITE 202",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630424100",
            "telephone_number": "314-731-5155",
            "fax_number": "314-731-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 HOWDERSHELL RD",
            "address_2": "SUITE 202",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630424100",
            "telephone_number": "314-731-5155",
            "fax_number": "314-731-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH F. KALLIAL, D.M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "KALLIAL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "314-731-5155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "015599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faye E Johnson
• Keri P Johnson, MD
• Tara K Johnson
• Lashell Jones
• Qiana Jones, CNA, MOA
• Priyanka Jaimin Joshi, PT
• Andrew Jovanovic, LPC
• Thomas Jung, DPT
• Joseph Francis Kallial, D.M.D.
• Joseph Thomas Kallial, DDS

• General Practice Dentistry in Hazelwood, MO
• Providers in Hazelwood, 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 May 1, 2008; 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.