Timothy a. Schaible D.M.D and Associates LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14957 Issued in MO

Legal business name

TIMOTHY A. SCHAIBLE D.M.D AND ASSOCIATES LLC

Practice address

340 Mid Rivers Mall Dr
Ste. 340
Saint Peters, MO 63376-1581

Phone

(636) 279-1633

Fax

(636) 397-8800

NPI assigned

Feb 27, 2007

Organization subpart

No

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

(636) 279-1633

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1518094903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MID RIVERS MALL DR",
            "address_2": "STE. 340",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761581",
            "telephone_number": "636-279-1633",
            "fax_number": "636-397-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MID RIVERS MALL DR",
            "address_2": "STE. 340",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761581",
            "telephone_number": "636-279-1633",
            "fax_number": "636-397-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY A. SCHAIBLE D.M.D AND ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2016-02-11",
        "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": "636-279-1633",
        "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": []
}

• Shane Thoreson, MPT
• Kelly Thornton, PT
• Rashonda Thornton, LPC
• Thrive Enrich Empower LLC
• Kayla Arnee Tiller, FNP-C
• Rachel Nicole Tinker, AGACNP-BC
• TLC Home Care and Health Services, LLC
• Rebecca Tobar, OTR/L
• Justin Michael Tomicich, LPC
• Toni M Puzzo, DC, Inc.

• General Practice Dentistry in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.