Organization Active NPI

Timothy a. Schaible P.C.

  • General Practice Dentistry
  • Saint Louis, MO
National Provider Identifier
1508993510
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14957 Issued in MO
Legal business name
TIMOTHY A. SCHAIBLE P.C.
Practice address
1544 Sierra Vista PLZ
Saint Louis, MO 63138-2040
Phone
(314) 355-5700
Fax
(314) 355-5702
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Dr. Timothy Alton Schaible, DMD
Title
President
Phone
(314) 355-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14957 MO Primary

Addresses

Primary practice location

1544 Sierra Vista PLZ
Saint Louis, MO 63138-2040

Mailing address

1544 Sierra Vista PLZ
Saint Louis, MO 63138-2040
Phone (314) 355-5700

National Provider Directory

National Provider Directory
Tax ID family
Timothy a Schaible DMD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1508993510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 SIERRA VISTA PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631382040",
            "telephone_number": "314-355-5700",
            "fax_number": "314-355-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 SIERRA VISTA PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631382040",
            "telephone_number": "314-355-5700",
            "fax_number": "314-355-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY A. SCHAIBLE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "SCHAIBLE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ALTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-355-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "14957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 27, 2008; 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.