Thomas Mazuranic DDS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2013016370 Issued in MO

Legal business name

THOMAS MAZURANIC DDS

Practice address

122 E Main St
Warrenton, MO 63383-2004

Phone

(636) 456-4746

NPI assigned

May 2, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Joseph Mazuranic, DDS

Title

Owner/Dentist

Phone

(314) 609-1660

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Warrenton Family Dental Care Doing business as

Locations

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1326537630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 E GLENWOOD LN",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631225118",
            "telephone_number": "314-609-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E MAIN ST",
            "city": "WARRENTON",
            "state": "MO",
            "postal_code": "633832004",
            "telephone_number": "636-456-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS MAZURANIC DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "MAZURANIC",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "314-609-1660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "2013016370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1801236708",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warrenton Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stewarts Drug Co
• Adam Weeden Stotts, DMD
• Nancy Straatmann
• Samantha Marie Swoboda, DMD
• Megan J Tattitch
• Shawn Thomas, PHARMD
• Carol A Thompson, PT
• Kelsey Spencer Tobler Cardenas, D.C.
• Hannah Claire Tolley
• Alexander Myles Turner, LCSW

• Dental Clinic/Center in Warrenton, MO
• Providers in Warrenton, MO by specialty
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.