Individual provider Active NPI

Elizabeth Stansbrough Meyer, DDS

  • General Practice Dentistry
  • Saint Charles, MO
National Provider Identifier
1316159817
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
013785 Issued in MO
Practice address
1360 South Fifth
Ste 208
Saint Charles, MO 63301-2446
Phone
(636) 947-4924
Fax
(636) 947-5971
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13785 MO
General Practice Dentistry 1223G0001X 013785 MO Primary

Addresses

Primary practice location

1360 South Fifth
Ste 208
Saint Charles, MO 63301-2446

Mailing address

1360 South Fifth
Ste 208
Saint Charles, MO 63301-2446
Phone (636) 947-4924

Other names 1

  • Dr. Elizabeth Mary Stansbrough Former name

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

LicenseStateTypeSpecialty
013785MOMDGeneral Practice Dentistry
13785MOMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1316159817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 SOUTH FIFTH",
            "address_2": "STE 208",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012446",
            "telephone_number": "636-947-4924",
            "fax_number": "636-947-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 SOUTH FIFTH",
            "address_2": "STE 208",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012446",
            "telephone_number": "636-947-4924",
            "fax_number": "636-947-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "ELIZABETH",
        "middle_name": "STANSBROUGH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "13785",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "013785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "STANSBROUGH",
            "middle_name": "MARY",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.