NPIMap

Organization Active NPI

Kiersz Dentistry Inc

Doing business as St. Robert Family Dental Center

  • General Practice Dentistry
  • Saint Robert, MO
National Provider Identifier
1366597197
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
015882 Issued in MO
Legal business name
KIERSZ DENTISTRY INC
Doing business as
St. Robert Family Dental Center
Practice address
441 Marshall Dr
Saint Robert, MO 65584-5603
Phone
(573) 336-5599
Fax
(573) 336-4809
NPI assigned
Jan 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeremy C Kiersz, DDSNPI 1568441426
Title
Dentist
Phone
(573) 336-5599

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 Dentistry 1223G0001X 015882 MO Primary
General Practice Dentistry 1223G0001X 016051 MO

Addresses

Primary practice location

441 Marshall Dr
Saint Robert, MO 65584-5603

Mailing address

441 Marshall Dr
Saint Robert, MO 65584-5603
Phone (573) 336-5599

Other names 1

  • ST. ROBERT FAMILY DENTAL CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

441 Marshall Dr
Saint Robert, MO 65584
Phone (573) 336-5533

Practitioners & affiliated clinicians

Practitioners 12

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366597197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 MARSHALL DR",
            "city": "SAINT ROBERT",
            "state": "MO",
            "postal_code": "655845603",
            "telephone_number": "573-336-5599",
            "fax_number": "573-336-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 MARSHALL DR",
            "city": "SAINT ROBERT",
            "state": "MO",
            "postal_code": "655845603",
            "telephone_number": "573-336-5599",
            "fax_number": "573-336-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIERSZ DENTISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIERSZ",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "573-336-5599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "015882",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "016051",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST. ROBERT FAMILY DENTAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Robert, MO

Sources for this page

  • 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.