NPIMap

Organization Active NPI

Shelly L. Sarich D.D.S., M.S., P.C.

  • Endodontics
  • Dardenne Prairie, MO
National Provider Identifier
1437367000
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
2000154623 Issued in MO
Legal business name
SHELLY L. SARICH D.D.S., M.S., P.C.
Practice address
1053 Rondale Court
Dardenne Prairie, MO 63368
Phone
(636) 379-4500
Fax
(636) 272-4551
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Amy Lynn Coleman
Title
Office Manager
Phone
(636) 379-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 2000154623 MO Primary

Addresses

Primary practice location

1053 Rondale Court
Dardenne Prairie, MO 63368

Mailing address

1053 Rondale Court
Dardenne Prairie, MO 63368
Phone (636) 379-4500

National Provider Directory

National Provider Directory
Tax ID family
Shelly L Sarich DDS Ms PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437367000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 RONDALE COURT",
            "city": "DARDENNE PRAIRIE",
            "state": "MO",
            "postal_code": "63368",
            "telephone_number": "636-379-4500",
            "fax_number": "636-272-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 RONDALE COURT",
            "city": "DARDENNE PRAIRIE",
            "state": "MO",
            "postal_code": "63368",
            "telephone_number": "636-379-4500",
            "fax_number": "636-272-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLY L. SARICH D.D.S., M.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "636-379-4500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MO",
            "license": "2000154623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dardenne Prairie, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.