NPIMap

Organization Active NPI

Paul S. Mace D.D.S.,M.S.D.,P.C.

  • Endodontics
  • Florissant, MO
National Provider Identifier
1417012683
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
12373 Issued in MO
Legal business name
PAUL S. MACE D.D.S.,M.S.D.,P.C.
Practice address
4585 Washington St
Suite a-5
Florissant, MO 63033-5858
Phone
(314) 839-4994
Fax
(314) 839-4613
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Authorized official

Name
Dr. Paul S Mace, D.D.S.NPI 1912220096
Title
Owner
Phone
(314) 839-4994

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 12373 MO Primary

Addresses

Primary practice location

4585 Washington St
Suite a-5
Florissant, MO 63033-5858

Mailing address

4585 Washington St
Suite a-5
Florissant, MO 63033-5858
Phone (314) 839-4994

National Provider Directory

National Provider Directory

Locations

4585 Washington St
Ste A5
Florissant, MO 63033
Phone (314) 839-4994

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1417012683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4585 WASHINGTON ST",
            "address_2": "SUITE A-5",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630335858",
            "telephone_number": "314-839-4994",
            "fax_number": "314-839-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4585 WASHINGTON ST",
            "address_2": "SUITE A-5",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630335858",
            "telephone_number": "314-839-4994",
            "fax_number": "314-839-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL S. MACE D.D.S.,M.S.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "MACE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-839-4994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MO",
            "license": "12373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.