NPIMap

Organization Active NPI

Missouri College, Inc.

  • Dental Clinic/Center
  • Brentwood, MO
National Provider Identifier
1639436181
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
010357 Issued in MO
Legal business name
MISSOURI COLLEGE, INC.
Practice address
1405 S Hanley Rd
Brentwood, MO 63144-2902
Phone
(314) 768-7800
Fax
(314) 768-7900
NPI assigned
Apr 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Authorized official

Name
Mrs. Nicole Gramlich, MAOM
Title
Campus Director
Phone
(314) 768-7806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 010357 MO Primary

Addresses

Primary practice location

1405 S Hanley Rd
Brentwood, MO 63144-2902

Mailing address

1405 S Hanley Rd
Brentwood, MO 63144-2902
Phone (314) 768-7800

National Provider Directory

National Provider Directory

Locations

1405 S Hanley Rd
Brentwood, MO 63144
Phone (314) 768-7800

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1639436181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 S HANLEY RD",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631442902",
            "telephone_number": "314-768-7800",
            "fax_number": "314-768-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 S HANLEY RD",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631442902",
            "telephone_number": "314-768-7800",
            "fax_number": "314-768-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI COLLEGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "GRAMLICH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CAMPUS DIRECTOR",
        "authorized_official_telephone_number": "314-768-7806",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MAOM"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "010357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.