NPIMap

Organization Active NPI

Skyview Pediatric Dentistry-GT

  • Dental Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1407749088
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SKYVIEW PEDIATRIC DENTISTRY-GT
Practice address
10049 Manchester Rd
Saint Louis, MO 63122-1825
Phone
(314) 671-4019
NPI assigned
Jun 2, 2025
Last updated
Jun 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Emily Hahn, DDSNPI 1841554094
Title
Owner
Phone
(618) 210-8323

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

10049 Manchester Rd
Saint Louis, MO 63122-1825

Mailing address

13001 N Outer 40 Rd Ste 360
Town and Country, MO 63017-5941
Phone (314) 626-4579

Other names 1

  • Green Tree Pediatric Dentistry Former legal business name

National Provider Directory

National Provider Directory

Locations

13001 North Outer 40 Rd
Ste 360
Town and Country, MO 63017
Phone (314) 626-4579

Practitioners & affiliated clinicians

Practitioners 7

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": "1748822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1407749088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13001 N OUTER 40 RD STE 360",
            "city": "TOWN AND COUNTRY",
            "state": "MO",
            "postal_code": "630175941",
            "telephone_number": "314-626-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10049 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631221825",
            "telephone_number": "314-671-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYVIEW PEDIATRIC DENTISTRY-GT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-210-8323",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Tree Pediatric Dentistry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 2, 2025; 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.