Anthony Lindahl, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

2003017402 Issued in MO

Practice address

1338 Sunburst Dr
O Fallon, MO 63366-3491

Phone

(636) 272-3503

Fax

(636) 272-3504

NPI assigned

Feb 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Missouri Dental Professionals, Richard Straus, DMD, PC

  dba Smile Design Dental Center

  • General Practice Dentistry
  • O'Fallon, MO
  • NPI 1154541282
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417098765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 SUNBURST DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633663491",
            "telephone_number": "636-272-3503",
            "fax_number": "636-272-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 SUNBURST DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633663491",
            "telephone_number": "636-272-3503",
            "fax_number": "636-272-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDAHL",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2003017402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Licensed Professional Counseling Services, LLC
• Life Well Balanced LLC
• Lifetime Dental Care of Missouri, Richard Straus, D.M.D., P.C. (Premier Dental Partners O'Fallon)
• Limitless Physical Therapy LLC
• Sneha Lin, O.D.
• Loria A Lindsey, M.D.
• Liposuction Solutions, LLC (Lipedema Surgical Solutions)
• Dylan Lipski
• Little Flower Family Medicine, LLC (Little Flower Family Medicine)
• Living Well Healthcare Services, LLC

• Dentist in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.