Organization Active NPI

Dennis M Anglim DDS PC

  • General Practice Dentistry
  • Maryland Heights, MO
National Provider Identifier
1427324284
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12882 Issued in MO
Legal business name
DENNIS M ANGLIM DDS PC
Practice address
12131 Dorsett Rd
Suite 236
Maryland Heights, MO 63043-2418
Phone
(314) 291-4424
NPI assigned
Mar 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Dr. Dennis M AnglimNPI 1386742963
Title
General Dentist
Phone
(314) 291-4424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12882 MO Primary

Addresses

Primary practice location

12131 Dorsett Rd
Suite 236
Maryland Heights, MO 63043-2418

Mailing address

12131 Dorsett Rd
Suite 236
Maryland Heights, MO 63043-2418

National Provider Directory

National Provider Directory

Locations

12131 Dorsett Rd
Ste 236
Maryland Heights, MO 63043
Phone (314) 291-4424

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1427324284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12131 DORSETT RD",
            "address_2": "SUITE 236",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12131 DORSETT RD",
            "address_2": "SUITE 236",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432418",
            "telephone_number": "314-291-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS M ANGLIM DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "ANGLIM",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "314-291-4424",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "12882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryland Heights, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.