Briar Makay Tiefenbrunn, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2022019317 Issued in MO

Practice address

4121 Elm Park Dr
Saint Louis, MO 63128-1918

Phone

(314) 845-2730

NPI assigned

Jun 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alex Sharifian DDS Mehlville Modern Dentistry PC

  • General Practice Dentistry
  • Saint Louis, MO
  • NPI 1649610668
  NPD (past)
• Alex Sharifian DDS, Chesterfield Smiles Dentistry, PC

  • General Practice Dentistry
  • Chesterfield, MO
  • NPI 1639544059
  NPD (past)

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1336878552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 E 6TH ST",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630902905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 ELM PARK DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281918",
            "telephone_number": "314-845-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEFENBRUNN",
        "first_name": "BRIAR",
        "middle_name": "MAKAY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2022019317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Michele Tichenor, DO
• Sarah Warner Tichenor, M.A., CCC-SLP
• Larrisha Tidwell
• Melissa J Tiearney
• Tiffany Tiefenauer
• Christine Leigh Tiefenbrunn, M.A.
• Christina Tiek
• Angela Tiemann
• Amy M Tiemeier, PHARM.D., BCPS
• Joyce Tien, MD

• General Practice Dentistry in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.