Organization Active NPI

Hurley Family Dentistry LLC

  • General Practice Dentistry
  • Chesterfield, MO
National Provider Identifier
1346605219
Registry record updated Dec 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2014015546 Issued in MO
Legal business name
HURLEY FAMILY DENTISTRY LLC
Practice address
14377 Woodlake Dr Ste 211
Chesterfield, MO 63017-5735
Phone
(314) 576-1777
NPI assigned
Dec 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2015

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

Authorized official

Name
Dr. Charles Daniel Hurley, D.D.S.NPI 1255736278
Title
Manager
Phone
(314) 576-1777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 2014015542 MO
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 2014015546 MO Primary

Addresses

Primary practice location

14377 Woodlake Dr Ste 211
Chesterfield, MO 63017-5735

Mailing address

14377 Woodlake Dr Ste 211
Chesterfield, MO 63017-5735
Phone (314) 576-1777

National Provider Directory

National Provider Directory

Locations

14377 Woodlake Dr
Ste 211
Chesterfield, MO 63017
Phone (314) 576-1777

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1450569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450569600000",
    "number": "1346605219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14377 WOODLAKE DR STE 211",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175735",
            "telephone_number": "314-576-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14377 WOODLAKE DR STE 211",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175735",
            "telephone_number": "314-576-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HURLEY FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-20",
        "last_updated": "2015-12-20",
        "status": "A",
        "authorized_official_last_name": "HURLEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-576-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2014015542",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2014015546",
            "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 Dec 20, 2015; 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.