Active NPI
Raymond W Gelchion, D.D.S.
- Dentist
- St. Charles, MO
National Provider Identifier
1497978282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 012469
- Practice address
- 2300 South Highway 94
St. Charles, MO 63303-5622 - Phone
- (636) 928-8400
- NPI assigned
- Apr 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 012469 | MO | Primary |
Addresses
Primary practice location
2300 South Highway 94
St. Charles, MO 63303-5622
Mailing address
1536 Yarmouth Point Dr
Chesterfield, MO 63017-5640
Phone (636) 532-3988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012469 | MO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497978282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1536 YARMOUTH POINT DR",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630175640",
"telephone_number": "636-532-3988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 SOUTH HIGHWAY 94",
"city": "ST. CHARLES",
"state": "MO",
"postal_code": "633035622",
"telephone_number": "636-928-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELCHION",
"first_name": "RAYMOND",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "012469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St. Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.