Active NPI
Bryan Allgeier, D.D.S.
- Endodontics
- Saint Louis, MO
National Provider Identifier
1366993719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 31114
- Practice address
- 3941 Bowen St
Saint Louis, MO 63116 - Phone
- (713) 851-7936
- NPI assigned
- Oct 20, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 31114 | TX | Primary |
Addresses
Primary practice location
3941 Bowen St
Saint Louis, MO 63116
Mailing address
7925 S Broadway Ave Ste 1130
Tyler, TX 75703-5227
Other practice location 1
3941 Bowen St
Saint Louis, MO 63116-3125
Phone (713) 851-7936
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 |
|---|---|---|---|
| 31114 | TX | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piney Woods Endodontics PLLC | 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.
-
- Endodontics
- Tyler, TX
- NPI 1811483696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530748800000",
"number": "1366993719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7925 S BROADWAY AVE STE 1130",
"city": "TYLER",
"state": "TX",
"postal_code": "757035227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3941 BOWEN ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63116",
"telephone_number": "713-851-7936"
}
],
"practiceLocations": [
{
"address_1": "3941 Bowen St",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631163125",
"country_code": "US",
"telephone_number": "713-851-7936",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLGEIER",
"first_name": "BRYAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-20",
"last_updated": "2018-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TX",
"license": "31114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.