Active NPI
Mona Patel
- Dentist
- Saint Louis, MO
National Provider Identifier
1639742562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2024003609
- Practice address
- 312 N 10TH St Ste a
Saint Louis, MO 63101-2062 - Phone
- (314) 231-6151
- NPI assigned
- Jul 19, 2021
- Last updated
- Feb 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.033336 | IL | |
| Dentist | 122300000X | 2024003609 | MO | Primary |
Addresses
Primary practice location
312 N 10TH St Ste a
Saint Louis, MO 63101-2062
Mailing address
1810 Partridge PL
Edwardsville, IL 62025-5512
Phone (334) 201-0659
Other practice location 1
1707 W Highway 50
O Fallon, IL 62269-1624
Phone (334) 201-0659
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.033336 | IL | MD | Dentist |
| 2024003609 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifetime Dental Care of Missouri, Richard Straus, D.M.D., P.C. | Dentist | Current | Accepting new patients |
Locations
312 N 10th St
#A
Saint Louis, MO 63101
Phone (314) 231-6151
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Premier Dental Partners Downtown
- General Practice Dentistry
- Saint Louis, MO
- NPI 1538202403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1639742562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 PARTRIDGE PL",
"city": "EDWARDSVILLE",
"state": "IL",
"postal_code": "620255512",
"telephone_number": "334-201-0659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 N 10TH ST STE A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631012062",
"telephone_number": "314-231-6151"
}
],
"practiceLocations": [
{
"address_1": "1707 W Highway 50",
"address_purpose": "LOCATION",
"city": "O Fallon",
"state": "IL",
"postal_code": "622691624",
"country_code": "US",
"telephone_number": "334-201-0659",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "MONA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-19",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.033336",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2024003609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.