Active NPI
Danny M Gennaoui DMD LLC
- Dental Clinic/Center
- Saint Louis, MO
National Provider Identifier
1417612904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- DANNY M GENNAOUI DMD LLC
- Practice address
- 3701 S Lindbergh Blvd Ste 200
Saint Louis, MO 63127-1372 - Phone
- (314) 821-4410
- NPI assigned
- Nov 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tara Rees
- Title
- Treatment Coordinator
- Phone
- (314) 821-4410
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
3701 S Lindbergh Blvd Ste 200
Saint Louis, MO 63127-1372
Mailing address
3701 S Lindbergh Blvd Ste 200
Saint Louis, MO 63127-1372
Phone (314) 821-4410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518214782 | Other | NPI TYPE 1 |
Other names 1
- Gennaoui Family Dental
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | office@gennaoui.dental |
National Provider Directory
National Provider DirectoryLocations
3701 S Lindbergh Blvd
Ste 200
Saint Louis, MO 63127
Phone (314) 821-4410
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Saint Louis, MO
- NPI 1518214782
-
- Dentist
- Saint Louis, MO
- NPI 1134107345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635724800000",
"number": "1417612904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 S LINDBERGH BLVD STE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631271372",
"telephone_number": "314-821-4410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 S LINDBERGH BLVD STE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631271372",
"telephone_number": "314-821-4410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANNY M GENNAOUI DMD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-01",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A",
"authorized_official_last_name": "REES",
"authorized_official_first_name": "TARA",
"authorized_official_title_or_position": "TREATMENT COORDINATOR",
"authorized_official_telephone_number": "314-821-4410"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE 1",
"identifier": "1518214782",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "office@gennaoui.dental",
"affiliation": "N",
"address_1": "3701 S Lindbergh Blvd Ste 200",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631271372",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Gennaoui Family Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.