C.J. Deleste, Inc.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

34234 Issued in MO

Legal business name

C.J. DELESTE, INC.

Practice address

1073 Airport Rd
Festus, MO 63028-4103

Phone

(636) 937-8118

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Roxanne Gibson

Title

Secretary

Phone

(636) 937-8118

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396864864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1073 AIRPORT RD",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284103",
            "telephone_number": "636-937-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 AIRPORT RD",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284103",
            "telephone_number": "636-937-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.J. DELESTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "636-937-8118"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "MO",
            "license": "34234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Burgett
• Sherry Lea Bush, CMT/CNA/CPR/INSULIN
• Carly Butler
• Ryan Eugene Butler, RPH
• Ryan Byington
• Jolene Marie Cabral, FNP
• Briccio Silvestre Cadiz III, M.D.
• Michelle Cage
• Alice Cai, DMD
• Alexandria Cantrell, M.S., CCC-SLP

• Urology Physician in Festus, MO
• Providers in Festus, MO by specialty
• Urology Physician in Missouri

• 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.