Organization Active NPI

Ashok K Rohra Jr DDS , LLC

Doing business as Olive Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Creve Coeur, MO
National Provider Identifier
1306343488
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2018000319 Issued in MO
Legal business name
ASHOK K ROHRA JR DDS , LLC
Doing business as
Olive Orthodontics
Practice address
11255 Olive Blvd Ste 200
Creve Coeur, MO 63141-7652
Phone
(314) 624-9373
NPI assigned
Apr 6, 2018
Last updated
Apr 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Authorized official

Name
Dr. Ashok K Rohra Jr., DDS , MSDNPI 1366856684
Title
Orthodontist
Phone
(314) 624-9373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 2018000319 MO Primary

Addresses

Primary practice location

11255 Olive Blvd Ste 200
Creve Coeur, MO 63141-7652

Mailing address

11255 Olive Blvd Ste 200
Creve Coeur, MO 63141-7652
Phone (314) 624-9373

Other names 1

  • Olive Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

11255 Olive Blvd
Ste 200
Creve Coeur, MO 63141
Phone (314) 624-9373

Practitioners & affiliated clinicians

Practitioners 1

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": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1306343488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11255 OLIVE BLVD STE 200",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417652",
            "telephone_number": "314-624-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11255 OLIVE BLVD STE 200",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417652",
            "telephone_number": "314-624-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHOK K ROHRA JR DDS , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "ROHRA",
        "authorized_official_first_name": "ASHOK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "314-624-9373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS , MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "2018000319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olive Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.