NPIMap

Organization Active NPI

Kehrs Mill Family Dental Care

  • General Practice Dentistry
  • Ballwin, MO
National Provider Identifier
1417185299
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11011 Issued in MO
Legal business name
KEHRS MILL FAMILY DENTAL CARE
Practice address
964 Kehrs Mill Rd
Ballwin, MO 63011-2402
Phone
(636) 391-1186
Fax
(636) 391-9520
NPI assigned
Jun 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Miss Catherine Caroline O'Brien
Title
Office Manager
Phone
(636) 391-1186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 11011 MO Primary

Addresses

Primary practice location

964 Kehrs Mill Rd
Ballwin, MO 63011-2402

Mailing address

964 Kehrs Mill Rd
Ballwin, MO 63011-2402
Phone (636) 391-1186

National Provider Directory

National Provider Directory

Locations

964 Kehrs Mill Rd
Ballwin, MO 63011
Phone (636) 391-1186

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1417185299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 KEHRS MILL RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112402",
            "telephone_number": "636-391-1186",
            "fax_number": "636-391-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 KEHRS MILL RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112402",
            "telephone_number": "636-391-1186",
            "fax_number": "636-391-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEHRS MILL FAMILY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "CAROLINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "636-391-1186",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "11011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballwin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.