Individual provider Active NPI

Ernst Martin Taeger

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Florissant, MO
National Provider Identifier
1356421101
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
12826 Issued in MO
Practice address
4137 N US Hwy 67
Florissant, MO 63034
Phone
(314) 653-1333
Fax
(314) 653-1197
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 12826 MO Primary

Addresses

Primary practice location

4137 N US Hwy 67
Florissant, MO 63034

Mailing address

4137 N US Hwy 67
Florissant, MO 63034
Phone (314) 653-1333

Other names 1

  • Dr. Ernst Martin Taeger Professional name

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

LicenseStateTypeSpecialty
12826MOMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356421101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4137 N US HWY 67",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "63034",
            "telephone_number": "314-653-1333",
            "fax_number": "314-653-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4137 N US HWY 67",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "63034",
            "telephone_number": "314-653-1333",
            "fax_number": "314-653-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAEGER",
        "first_name": "ERNST",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "12826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERNST",
            "last_name": "TAEGER",
            "middle_name": "MARTIN",
            "prefix": "DR.",
            "credential": "DDS, MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.