Active NPI
Donald M Suggs, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Saint Louis, MO
National Provider Identifier
1346410677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 009792
- Practice address
- 1259 N Kingshighway Blvd
Saint Louis, MO 63113-1647 - Phone
- (314) 361-2200
- Fax
- (314) 361-2351
- NPI assigned
- Mar 3, 2008
- Last updated
- Mar 3, 2008
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 009792 | MO | Primary |
Addresses
Primary practice location
1259 N Kingshighway Blvd
Saint Louis, MO 63113-1647
Mailing address
1259 N Kingshighway Blvd
Saint Louis, MO 63113-1647
Phone (314) 361-2200
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 |
|---|---|---|---|
| 009792 | MO | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Oral Surgery CNT Donald M Suggs Ddspc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ambulatory Surgical Clinic/Center
- Saint Louis, MO
- NPI 1871683771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204502400000",
"number": "1346410677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1259 N KINGSHIGHWAY BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631131647",
"telephone_number": "314-361-2200",
"fax_number": "314-361-2351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1259 N KINGSHIGHWAY BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631131647",
"telephone_number": "314-361-2200",
"fax_number": "314-361-2351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUGGS",
"first_name": "DONALD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-03",
"last_updated": "2008-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MO",
"license": "009792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.