Organization Active NPI

Florissant Dental Care-Ronald K Greif, DDS-Samir Ruvinov, DDS, LLC

Doing business as Florissant Dental Care

  • General Practice Dentistry
  • Florissant, MO
National Provider Identifier
1568986974
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FLORISSANT DENTAL CARE-RONALD K GREIF, DDS-SAMIR RUVINOV, DDS, LLC
Doing business as
Florissant Dental Care
Practice address
1265 Graham Rd Ste a
Florissant, MO 63031-8018
Phone
(314) 839-5900
Fax
(314) 839-3133
NPI assigned
Jul 27, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Joseph Jindela
Title
General Manager
Phone
(314) 956-2286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1265 Graham Rd Ste a
Florissant, MO 63031-8018

Mailing address

1265 Graham Rd Ste a
Florissant, MO 63031-8018
Phone (314) 839-5900

Other names 1

  • Florissant Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

1265 Graham Rd
Ste A
Florissant, MO 63031
Phone (314) 839-5900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1568986974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 GRAHAM RD STE A",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318018",
            "telephone_number": "314-839-5900",
            "fax_number": "314-839-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 GRAHAM RD STE A",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318018",
            "telephone_number": "314-839-5900",
            "fax_number": "314-839-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORISSANT DENTAL CARE-RONALD K GREIF, DDS-SAMIR RUVINOV, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JINDELA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "314-956-2286"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florissant Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.