Active NPI
Joseph Herbert Laffler, DDS
- Dentist
- Ellisville, MO
National Provider Identifier
1548369697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 010080
- Practice address
- 165 Clarkson Executive Park
Ellisville, MO 63011-2176 - Phone
- (636) 227-0507
- Fax
- (636) 591-0032
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 010080 | MO | Primary |
Addresses
Primary practice location
165 Clarkson Executive Park
Ellisville, MO 63011-2176
Mailing address
14643 Mallard Lake Drive
Chesterfield, MO 63017
Phone (636) 532-7050
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548369697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14643 MALLARD LAKE DRIVE",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "63017",
"telephone_number": "636-532-7050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 CLARKSON EXECUTIVE PARK",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630112176",
"telephone_number": "636-227-0507",
"fax_number": "636-591-0032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFFLER",
"first_name": "JOSEPH",
"middle_name": "HERBERT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "010080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellisville, 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.