Active NPI
Richard Jay Schainker, DDS
- Dentist
- Chesterfield, MO
National Provider Identifier
1629067467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12103
- Practice address
- 14377 Woodlake Dr
Suite# 207
Chesterfield, MO 63017-5735 - Phone
- (314) 878-8886
- Fax
- (314) 878-3458
- NPI assigned
- Oct 14, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 12103 | MO | Primary |
Addresses
Primary practice location
14377 Woodlake Dr
Suite# 207
Chesterfield, MO 63017-5735
Mailing address
14377 Woodlake Dr
Suite# 207
Chesterfield, MO 63017-5735
Phone (314) 878-8886
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12103 | MO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392940800000",
"number": "1629067467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14377 WOODLAKE DR",
"address_2": "SUITE# 207",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630175735",
"telephone_number": "314-878-8886",
"fax_number": "314-878-3458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14377 WOODLAKE DR",
"address_2": "SUITE# 207",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630175735",
"telephone_number": "314-878-8886",
"fax_number": "314-878-3458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAINKER",
"first_name": "RICHARD",
"middle_name": "JAY",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-14",
"last_updated": "2014-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "12103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.