Active NPI
Brent B Setien, DDS
- Dentist
- Hazelwood, MO
National Provider Identifier
1306130976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2011015222
- Practice address
- 8430 Pershall Rd
Hazelwood, MO 63042-3075 - Phone
- (314) 521-5678
- Fax
- (314) 521-0283
- NPI assigned
- Jun 1, 2011
- Last updated
- Jun 1, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2011015222 | MO | Primary |
Addresses
Primary practice location
8430 Pershall Rd
Hazelwood, MO 63042-3075
Mailing address
8430 Pershall Rd
Hazelwood, MO 63042-3075
Phone (314) 521-5678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011015222 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hebert DMD, Brown DMD & Associates, LLC, Dba Lifesmile Dental Care | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Hazelwood, MO
- NPI 1447419684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306886400000",
"number": "1306130976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8430 PERSHALL RD",
"city": "HAZELWOOD",
"state": "MO",
"postal_code": "630423075",
"telephone_number": "314-521-5678",
"fax_number": "314-521-0283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8430 PERSHALL RD",
"city": "HAZELWOOD",
"state": "MO",
"postal_code": "630423075",
"telephone_number": "314-521-5678",
"fax_number": "314-521-0283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SETIEN",
"first_name": "BRENT",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-01",
"last_updated": "2011-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2011015222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazelwood, MO
- Katherine A Scrivner, DO
- Sent From Above, Inc (FirstLight HomeCare of North St. Louis)
- Sent From Above, Inc. (Doing Business As)
- Serenity Garden Massage LLC
- Blake B. Setien, DDS
- Michelle Brianne Shaffer, PHARM.D.
- Kyle P Shapiro, DDS
- Julie Ann Shelton, NP-C
- Marvin Shelton, ED.S, ED.D, RSAP
- Angela Nicole Shields
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.