NPIMap

Organization Active NPI

David a. Durham DDS and Associates PC

Doing business as Southwest Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Saint Louis, MO
National Provider Identifier
1467584854
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
14054 Issued in MO
Legal business name
DAVID A. DURHAM DDS AND ASSOCIATES PC
Doing business as
Southwest Oral Surgery
Practice address
10000 Watson Rd
Suite a
Saint Louis, MO 63126-1854
Phone
(314) 822-3322
Fax
(314) 822-0537
NPI assigned
Mar 12, 2007
Last updated
Nov 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Authorized official

Name
Dr. Gregg William Hosch, DDSNPI 1043292451
Title
President
Phone
(314) 822-3322

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 and Maxillofacial Surgery (Dentist) 1223S0112X 14054 MO Primary

Addresses

Primary practice location

10000 Watson Rd
Suite a
Saint Louis, MO 63126-1854

Mailing address

10000 Watson Rd
Suite a
Saint Louis, MO 63126-1854
Phone (314) 822-3322

Other names 1

  • Southwest Oral Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

510 Baxter Rd
Ste 7
Chesterfield, MO 63017
Phone (636) 394-5115

1588 Smizer Station Rd
Fenton, MO 63026
Phone (636) 861-6966

10000 Watson Rd
Ste A
Saint Louis, MO 63126
Phone (314) 822-3322

Practitioners & affiliated clinicians

Practitioners 6

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": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1467584854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 WATSON RD",
            "address_2": "SUITE A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261854",
            "telephone_number": "314-822-3322",
            "fax_number": "314-822-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 WATSON RD",
            "address_2": "SUITE A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261854",
            "telephone_number": "314-822-3322",
            "fax_number": "314-822-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. DURHAM DDS AND ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "HOSCH",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-822-3322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "14054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; 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.