Yamuna Mathew DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

P00809449 Issued in MO

Legal business name

YAMUNA MATHEW DDS PC

Doing business as

Des Peres Family Dentistry

Practice address

12360 Manchester Rd
Suite 201
Saint Louis, MO 63131-4312

Phone

(314) 394-0540

Fax

(314) 394-0543

NPI assigned

Jun 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yamuna A Mathew, DDSNPI 1427102300

Title

President

Phone

(314) 394-0540

Specialties & licenses 1

Addresses

Other names 1

• Des Peres Family Dentistry Doing business as

Locations

Practitioners 1

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.

• Yamuna Anna Mathew, DDS

  • General Practice Dentistry
  • Saint Louis, MO
  • NPI 1427102300
  NPD (past) Authorized official

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417151218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12360 MANCHESTER RD",
            "address_2": "SUITE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631314312",
            "telephone_number": "314-394-0540",
            "fax_number": "314-394-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12360 MANCHESTER RD",
            "address_2": "SUITE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631314312",
            "telephone_number": "314-394-0540",
            "fax_number": "314-394-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAMUNA MATHEW DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "YAMUNA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-394-0540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "P00809449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Des Peres Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelvin A Yamada, MD
• Melissa Yamada
• Christy Nicole Yamnitz, M.S.,CCC-SLP
• Stacy Renee Yamnitz, RN
• Hala Yamout, M.D.
• Ashok Yanamadala, M.D.
• Ciarra Marie Yancey, PLPC
• Daniel Hixson Yancey, BCBA
• Remargo Yancie, L.P.C.
• Raquel Yancy

• Dental Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Dental Clinic/Center 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.