NPIMap

Organization Active NPI

Homer R Tourkakis DDS, PC

  • Dental Clinic/Center
  • Arnold, MO
National Provider Identifier
1598067357
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
14159 Issued in MO
Legal business name
HOMER R TOURKAKIS DDS, PC
Practice address
3613 Richardson Square Dr
Suite 100
Arnold, MO 63010-6027
Phone
(636) 461-0093
Fax
(636) 461-0229
NPI assigned
Nov 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Authorized official

Name
Dr. Homer R Tourkakis, DDS
Title
Dentist/Owner
Phone
(636) 461-0093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 14159 MO Primary

Addresses

Primary practice location

3613 Richardson Square Dr
Suite 100
Arnold, MO 63010-6027

Mailing address

3613 Richardson Square Dr
Suite 100
Arnold, MO 63010-6027
Phone (636) 461-0093

National Provider Directory

National Provider Directory

Locations

3613 Richardson Square Dr
Arnold, MO 63010
Phone (636) 461-0093

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1598067357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 RICHARDSON SQUARE DR",
            "address_2": "SUITE 100",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630106027",
            "telephone_number": "636-461-0093",
            "fax_number": "636-461-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 RICHARDSON SQUARE DR",
            "address_2": "SUITE 100",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630106027",
            "telephone_number": "636-461-0093",
            "fax_number": "636-461-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMER R TOURKAKIS DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "TOURKAKIS",
        "authorized_official_first_name": "HOMER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "636-461-0093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "14159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.