NPIMap

Organization Active NPI

Sunset Hills Dental LLC

  • General Practice Dentistry
  • St Louis, MO
National Provider Identifier
1326123647
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SUNSET HILLS DENTAL LLC
Practice address
11810 Gravois Rd
St Louis, MO 63127
Phone
(314) 842-5000
Fax
(314) 842-7199
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Phyllis M Ahrens
Title
Insurance Dept Rep
Phone
3148425000827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

11810 Gravois Rd
St Louis, MO 63127

Mailing address

PO Box 8570
St Louis, MO 63126-0570
Phone (314) 842-5000

National Provider Directory

National Provider Directory

Locations

11810 Gravois Rd
Saint Louis, MO 63127
Phone (314) 842-5000

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326123647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8570",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631260570",
            "telephone_number": "314-842-5000",
            "fax_number": "314-842-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11810 GRAVOIS RD",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63127",
            "telephone_number": "314-842-5000",
            "fax_number": "314-842-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET HILLS DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AHRENS",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INSURANCE DEPT REP",
        "authorized_official_telephone_number": "3148425000827"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.