Active NPI
Mara Krill, D.M.D
- Dentist
- Saint Louis, MO
National Provider Identifier
1366825598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019030162
- Practice address
- 5800 Highlands Plaza Dr
Apt. 128
Saint Louis, MO 63110-1356 - Phone
- (513) 260-8708
- NPI assigned
- Jul 7, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019030162 | IL | Primary |
Addresses
Primary practice location
5800 Highlands Plaza Dr
Apt. 128
Saint Louis, MO 63110-1356
Mailing address
100 Piper Hill Dr
Suite a
Saint Peters, MO 63376-1616
Phone (636) 477-1000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019030162 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lisa M Juels DMD PC | 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.
-
- General Practice Dentistry
- Saint Peters, MO
- NPI 1962681528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467676800000",
"number": "1366825598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PIPER HILL DR",
"address_2": "SUITE A",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633761616",
"telephone_number": "636-477-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 HIGHLANDS PLAZA DR",
"address_2": "APT. 128",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101356",
"telephone_number": "513-260-8708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRILL",
"first_name": "MARA",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-07",
"last_updated": "2016-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019030162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.