St. Johns Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13470 Issued in MO

Legal business name

ST. JOHNS DENTAL ASSOCIATES

Practice address

8938 Saint Charles Rock Rd
Saint Louis, MO 63114-4238

Phone

(314) 427-1400

Fax

(314) 427-1407

NPI assigned

Dec 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Patrick Fisher, DDSNPI 1720140304

Title

Partner

Phone

(314) 427-1400

Specialties & licenses 1

Addresses

Practitioners 1

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.

• James Patrick Fisher, DDS

  • General Practice Dentistry
  • Saint Louis, MO
  • NPI 1720140304
  Authorized official Same address or phone

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447312541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8938 SAINT CHARLES ROCK RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631144238",
            "telephone_number": "314-427-1400",
            "fax_number": "314-427-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8938 SAINT CHARLES ROCK RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631144238",
            "telephone_number": "314-427-1400",
            "fax_number": "314-427-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHNS DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "314-427-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "13470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. John's Mercy Medical Center
• St. John's Mercy Pulmonary Specialists
• St. John's Mercy Therapy Services LLC
• St. John's Mercy Therapy Services LLC
• St. John's Pediatric Services
• St. Johns Place, Inc.
• Kathryn St. Julian, CRNA
• St. Louis Academy
• St. Louis Addiction Counseling LLC
• St. Louis Altenheim

• 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 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.