Michael T Katsev DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MICHAEL T KATSEV DDS PC

Practice address

3478 Bridgeland Dr
Suite 3
Bridgeton, MO 63044-2619

Phone

(314) 291-2573

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Theodore Katsev

Title

Owner

Phone

(314) 291-2573

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609071455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3478 BRIDGELAND DR",
            "address_2": "SUITE 3",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442619",
            "telephone_number": "314-291-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3478 BRIDGELAND DR",
            "address_2": "SUITE 3",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442619",
            "telephone_number": "314-291-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL T KATSEV DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KATSEV",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-291-2573",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.