Yamuna Anna Mathew, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2002012837 Issued in MO

Practice address

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

Phone

(314) 394-0540

Fax

(314) 394-0543

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Yamuna Mathew DDS PC

  dba Des Peres Family Dentistry

  • Dental Clinic/Center
  • Saint Louis, MO
  • NPI 1417151218
  NPD (past) Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427102300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2947 DEVONDALE PLACE",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63131",
            "telephone_number": "636-305-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12360 MANCHESTER RD STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631314312",
            "telephone_number": "314-394-0540",
            "fax_number": "314-394-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "YAMUNA",
        "middle_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2002012837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moye Philip Mathew, DO
• Shakila Mathew, DO
• Sonia Mathew
• Stanley Mathew
• Suresh Mathew, MD
• Jennifer Rose Mathews, PH.D.
• Leah N. Mathews, O.D.
• Parker Dotson Mathews, MD
• Patrice F. Mathews, M.D.
• Ryan Patrick Mathews, PHARMD

• General Practice Dentistry in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.