Individual provider Active NPI

Jaron Ryah Wedding, D.D.S., M.S.D.

  • Endodontics
  • Creve Coeur, MO
National Provider Identifier
1366548588
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
2005019635 Issued in MO
Practice address
522 N New Ballas Rd
Suite 382
Creve Coeur, MO 63141-6857
Phone
(314) 994-3737
NPI assigned
Sep 15, 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
Endodontics 1223E0200X 2005019635 MO Primary

Addresses

Primary practice location

522 N New Ballas Rd
Suite 382
Creve Coeur, MO 63141-6857

Mailing address

12 Winnetka LN
Saint Louis, MO 63122-3252
Phone (314) 909-9199

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
2005019635MOMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
The Dental Offices of Jaron Wedding D.D.S., M.S.D., and Richard Orrick Endodontics 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366548588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WINNETKA LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223252",
            "telephone_number": "314-909-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N NEW BALLAS RD",
            "address_2": "SUITE 382",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416857",
            "telephone_number": "314-994-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDDING",
        "first_name": "JARON",
        "middle_name": "RYAH",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MO",
            "license": "2005019635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, 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.