Individual provider Active NPI

Lauren Elizabeth Kessinger, DMD

  • Dentist
  • Saint Louis, MO
National Provider Identifier
1548817448
Registry record updated Aug 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2019023251 Issued in MO
Practice address
2821 N Ballas Rd Ste 160
Saint Louis, MO 63131-2376
Phone
(314) 567-5477
NPI assigned
Aug 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2019023251 MO Primary

Addresses

Primary practice location

2821 N Ballas Rd Ste 160
Saint Louis, MO 63131-2376

Mailing address

2821 N Ballas Rd Ste 160
Saint Louis, MO 63131-2376
Phone (314) 567-5477

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drkessinger@townandcountrysmiles.com

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

LicenseStateTypeSpecialty
2019023251MOMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1566691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566691200000",
    "number": "1548817448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 N BALLAS RD STE 160",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312376",
            "telephone_number": "314-567-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 N BALLAS RD STE 160",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312376",
            "telephone_number": "314-567-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSINGER",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-25",
        "last_updated": "2019-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2019023251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drkessinger@townandcountrysmiles.com",
            "affiliation": "N",
            "address_1": "2821 N Ballas Rd Ste 160",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631312376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 25, 2019; 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.