Active NPI
Jake Pariani, DMD
- Dentist
- Chesterfield, MO
National Provider Identifier
1326769563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2022026685
- Practice address
- 42 Four Seasons Shopping Ctr Ste 129
Chesterfield, MO 63017-3100 - Phone
- (314) 936-3621
- NPI assigned
- Sep 6, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2022026685 | MO | Primary |
Addresses
Primary practice location
42 Four Seasons Shopping Ctr Ste 129
Chesterfield, MO 63017-3100
Mailing address
9268 Rott Rd
Saint Louis, MO 63127-1927
Phone (314) 578-7726
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2022026685 | MO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1326769563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9268 ROTT RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631271927",
"telephone_number": "314-578-7726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 FOUR SEASONS SHOPPING CTR STE 129",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630173100",
"telephone_number": "314-936-3621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARIANI",
"first_name": "JAKE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-06",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2022026685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.