Organization Active NPI

Rocky F. Lupardus, D.M.D., P.C.

  • Dental Clinic/Center
  • Eureka, MO
National Provider Identifier
1477758563
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE 015475 Issued in MO
Legal business name
ROCKY F. LUPARDUS, D.M.D., P.C.
Practice address
302 Bald Hill Rd
Eureka, MO 63025-3731
Phone
(636) 938-4450
Fax
(636) 938-1300
NPI assigned
Jun 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. Rocky Lupardus, DMDNPI 1306849302
Title
President
Phone
(636) 938-4450

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
Dental Clinic/Center 261QD0000X DE 015475 MO Primary

Addresses

Primary practice location

302 Bald Hill Rd
Eureka, MO 63025-3731

Mailing address

302 Bald Hill Rd
Eureka, MO 63025-3731
Phone (636) 938-4450

National Provider Directory

National Provider Directory

Locations

302 Bald Hill Rd
Eureka, MO 63025
Phone (636) 938-4450

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477758563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 BALD HILL RD",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630253731",
            "telephone_number": "636-938-4450",
            "fax_number": "636-938-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 BALD HILL RD",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630253731",
            "telephone_number": "636-938-4450",
            "fax_number": "636-938-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY F. LUPARDUS, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUPARDUS",
        "authorized_official_first_name": "ROCKY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-938-4450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "DE 015475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, 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.