Organization Active NPI

Southwest Endodontic Assoc.

  • Endodontics
  • St. Louis, MO
National Provider Identifier
1417218249
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
14082 Issued in MD
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 ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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.NPI 1295125474
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)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 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 Assoc2 organizations share this tax ID, including this one
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.

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.

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.

Verify at the official NPI Registry.