Active NPI
Southwest Endodontic Assoc.
- Endodontics
- St. Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 14082
- Legal business name
- SOUTHWEST ENDODONTIC ASSOC.
- Practice address
- 6651 Chippewa
Suite 323
St. Louis, MO 63109 - Phone
- (314) 781-1919
- Fax
- (314) 781-0880
- NPI assigned
- Jun 7, 2012
- Organization subpart
- Yes
- Parent organization
- SOUTHWEST ENDODONTIC ASSOCIATES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gilbert J Cyr, D.D.S.
- Title
- Owner
- Phone
- (314) 781-1919
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 14082 | MD | Primary |
Addresses
Primary practice location
6651 Chippewa
Suite 323
St. Louis, MO 63109
Mailing address
6651 Chippewa
Ste 323
St. Louis, MO 63109
Phone (314) 781-1919
National Provider Directory
National Provider Directory- Tax ID family
- Southwest Endodontic Assoc
- Part of
- Southwest Endodontic Assoc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Endodontics
- Saint Louis, MO
- NPI 1952471351
Locations
6651 Chippewa St
Ste 323
Saint Louis, MO 63109
Phone (314) 781-1919
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endodontics
- St Louis, MO
- NPI 1295125474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339027200000",
"number": "1417218249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6651 CHIPPEWA",
"address_2": "STE 323",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63109",
"telephone_number": "314-781-1919",
"fax_number": "314-781-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6651 CHIPPEWA",
"address_2": "SUITE 323",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63109",
"telephone_number": "314-781-1919",
"fax_number": "314-781-0880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST ENDODONTIC ASSOC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOUTHWEST ENDODONTIC ASSOCIATES",
"enumeration_date": "2012-06-07",
"last_updated": "2012-06-07",
"status": "A",
"authorized_official_last_name": "CYR",
"authorized_official_first_name": "GILBERT",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-781-1919",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "MD",
"license": "14082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St. Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.