Victoria Dzundzev, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

015366 Issued in MO

Practice address

6121 N Hanley Rd
Saint Louis, MO 63134-2003

Phone

(314) 615-0500

Fax

(314) 615-8303

NPI assigned

Feb 1, 2007

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

Other identifiers 2

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.

• Walter Pfitzinger DDS #2 PC

  • Pediatric Dentistry
  • Clayton, MO
  • NPI 1568590453
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1356489561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N MERAMEC AVE STE 14",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053750",
            "telephone_number": "314-862-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 N HANLEY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631342003",
            "telephone_number": "314-615-0500",
            "fax_number": "314-615-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZUNDZEV",
        "first_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "015366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403231012",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO LICENSE NUMBER",
            "identifier": "015366",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Dyson, PHARMD
• Sasa Dzaferagic, PHARM.D.
• Sahin Dzananovic, DC
• Igor R Dzhurinskiy, PHARMACIST
• Arijana Dzidzovic, LMT
• E C Helpers Home Health LLC
• E-Cloud Radiology LLC
• E. Brown, DDS, C. Hollander, DDS, M. Fernandez, DDS, D. Autry, DMD LLC
• E. Glenn Glassman D.D.S. PC Dba Orthocare Systems
• E. Glenn Glassman, D.D.S. PC Dba Orthocare Systems

• 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 May 9, 2013; 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.