Individual provider Active NPI

Alan Scott Handler, DDS

  • Dentist
  • Chesterfield, MO
National Provider Identifier
1326029729
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12505 Issued in MO
Practice address
130 Hilltown Village Ctr
Chesterfield, MO 63017-0709
Phone
(636) 532-3311
Fax
(636) 532-2001
NPI assigned
Nov 11, 2005
Last updated
Jun 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12505 MO Primary

Addresses

Primary practice location

130 Hilltown Village Ctr
Chesterfield, MO 63017-0709

Mailing address

130 Hilltown Village Ctr
Chesterfield, MO 63017-0709
Phone (636) 532-3311

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160201001110 MO Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5799089413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12505MOMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1326029729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HILLTOWN VILLAGE CTR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630170709",
            "telephone_number": "636-532-3311",
            "fax_number": "636-532-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HILLTOWN VILLAGE CTR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630170709",
            "telephone_number": "636-532-3311",
            "fax_number": "636-532-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDLER",
        "first_name": "ALAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "12505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.