Active NPI
Miguel Ignacio Dorante, MD, MBE
- Plastic and Reconstructive Surgery Physician
- Saint Louis, MO
National Provider Identifier
1568024321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 2025011854
- Practice address
- 12855 N 40 Dr Ste 380
Saint Louis, MO 63141-8663 - Phone
- (314) 434-7784
- NPI assigned
- Jul 2, 2019
- 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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 2025011854 | MO | Primary |
Addresses
Primary practice location
12855 N 40 Dr Ste 380
Saint Louis, MO 63141-8663
Mailing address
12855 N 40 Dr Ste 380
Saint Louis, MO 63141-8663
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025011854 | MO | MD | Plastic and Reconstructive Surgery Physician |
Interoperability endpoints
- miguel.dorante.1@2394.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1568024321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12855 N 40 DR STE 380",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12855 N 40 DR STE 380",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418663",
"telephone_number": "314-434-7784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORANTE",
"first_name": "MIGUEL",
"middle_name": "IGNACIO",
"name_prefix": "Dr.",
"credential": "MD, MBE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-02",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "MO",
"license": "2025011854",
"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 Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.