Gateway Little Smiles of Ballwin, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

GATEWAY LITTLE SMILES OF BALLWIN, LLC

Practice address

956 Kehrs Mill Rd
Ballwin, MO 63011-2402

Phone

(636) 527-2779

NPI assigned

Jul 21, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Corey Hastings, DDS

Title

Managing Member

Phone

(314) 496-3562

Specialties & licenses 1

Addresses

Other names 1

• Gateway Little Smiles of Ballwin Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shahnaz Bhari Ahmed, D.D.S.

  • Pediatric Dentistry
  • Ballwin, MO
  • NPI 1346375904
  NPD (past)

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487389672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 KEHRS MILL RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112402",
            "telephone_number": "636-527-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 KEHRS MILL RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112402",
            "telephone_number": "636-527-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY LITTLE SMILES OF BALLWIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HASTINGS",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "314-496-3562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.gatewaylittlesmiles.com",
            "affiliation": "N",
            "address_1": "956 Kehrs Mill Rd",
            "city": "Ballwin",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630112402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Gateway Little Smiles of Ballwin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Gach, DPT
• Tara Layne Gallagher, COTA
• Lori Denise Galperin, M.S.W., L.C.S.W.
• Erendira Elvira Garcia Guzman
• Rene Gassner, D.C.
• Seth Gerlach, D.C.
• Cole Gerstenberger, DPT
• Lynne Gibbs, D.C.
• McKenzie Gibson, RBT
• Trent Conner Gibson

• Pediatric Dentistry in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Pediatric Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.