NPIMap

Organization Active NPI

Kirby J. Robinson, DDS of Missouri, LLC

Doing business as Affordable Dentures & Implants - St. Peters

  • General Practice Dentistry
  • Saint Peters, MO
National Provider Identifier
1487843066
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KIRBY J. ROBINSON, DDS OF MISSOURI, LLC
Doing business as
Affordable Dentures & Implants - St. Peters
Practice address
5863 Suemandy Dr
Saint Peters, MO 63376-4327
Phone
(636) 970-1460
NPI assigned
Oct 18, 2007
Last updated
Jun 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Authorized official

Name
Haley Wooster
Title
Enrollment Specialist
Phone
(984) 251-8846

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 011904 MO
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

5863 Suemandy Dr
Saint Peters, MO 63376-4327

Mailing address

5863 Suemandy Dr
Saint Peters, MO 63376-4327
Phone (636) 970-1460

Other names 1

  • Affordable Dentures & Implants - St. Peters Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Affordable Dentures Implants - Arnold12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

318 Mid Rivers Mall Dr
Saint Peters, MO 63376
Phone (636) 397-6966

5863 Suemandy Dr
Saint Peters, MO 63376
Phone (636) 970-1460

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": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1487843066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5863 SUEMANDY DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633764327",
            "telephone_number": "636-970-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5863 SUEMANDY DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633764327",
            "telephone_number": "636-970-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRBY J. ROBINSON, DDS OF MISSOURI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "WOOSTER",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "984-251-8846"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "011904",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dentures & Implants - St. Peters",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.