Demko Orthodontics LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

015993 Issued in MO

Legal business name

DEMKO ORTHODONTICS LLC

Practice address

14377 Woodlake Dr
Ste 216
Chesterfield, MO 63017

Phone

(314) 576-4955

Fax

(314) 576-3811

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jaqueline Anne Demko

Title

Orthodontist

Phone

(314) 576-4955

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Anne Demko, DDS MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chesterfield, MO
  • NPI 1942391065
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356413611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14377 WOODLAKE DRIVE",
            "address_2": "STE 216",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "314-576-4955",
            "fax_number": "314-576-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14377 WOODLAKE DR",
            "address_2": "STE 216",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "314-576-4955",
            "fax_number": "314-576-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMKO ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEMKO",
        "authorized_official_first_name": "JAQUELINE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "314-576-4955",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "015993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delmar Gardens of Chesterfield Operating, LLC
• Delmar Gardens on the Green Operating, LLC
• Delmar Gardens Private Services, LLC
• Mariela Delvalle-Cruz, M.D.
• Jennifer Lee Demertzis, MD
• Jacqueline Anne Demko, DDS MS
• Department of Cardiology, LLC
• Nicole Depron
• Dermatology Health Center Inc
• Katherine E Derousse, CCC-SLP

• Orthodontics and Dentofacial Orthopedics Dentistry in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.