NPIMap

Organization Active NPI

Michael K Parsons DDS PC

Doing business as Midwest Oral and Maxillo Facial Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • O'Fallon, MO
National Provider Identifier
1457484222
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
MICHAEL K PARSONS DDS PC
Doing business as
Midwest Oral and Maxillo Facial Surgery
Practice address
1630 Market Center Blvd
Suite 102
O Fallon, MO 63368
Phone
(636) 379-1333
Fax
(636) 379-1334
NPI assigned
Mar 13, 2007
Last updated
Nov 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Dr. Michael Keith Parsons, DDSNPI 1578507109
Title
Owner President
Phone
(636) 536-5158

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X NU Primary

Addresses

Primary practice location

1630 Market Center Blvd
Suite 102
O Fallon, MO 63368

Mailing address

17300 Outer Forty Road North
Suite 103
Chesterfield, MO 63005
Phone (636) 536-5158

Other names 1

  • Midwest Oral and Maxillo Facial Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

17300 North Outer 40 Rd
Ste 103
Chesterfield, MO 63005
Phone (636) 379-1333

1487 US Highway 61
Ste B
Crystal Cty, MO 63028
Phone (636) 536-5158

1630 Market Center Blvd
Ste 102
O Fallon, MO 63368
Phone (636) 379-1333

10012 Kennerly Rd
Ste 200
Saint Louis, MO 63128

1004 Schroeder Creek Blvd
Wentzville, MO 63385
Phone (636) 536-5158

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1457484222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 OUTER FORTY ROAD NORTH",
            "address_2": "SUITE 103",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63005",
            "telephone_number": "636-536-5158",
            "fax_number": "636-536-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MARKET CENTER BLVD",
            "address_2": "SUITE 102",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "63368",
            "telephone_number": "636-379-1333",
            "fax_number": "636-379-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL K PARSONS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "636-536-5158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Oral and Maxillo Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in O'Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.