Midwest Smiles

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

015564 Issued in MO

Legal business name

MIDWEST SMILES

Practice address

4169 N US Highway 67
Florissant, MO 63034-2825

Phone

(314) 653-1200

Fax

(314) 653-6538

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth L Ausmer, D.M.D.

Title

President

Phone

(314) 653-1200

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Karl R Hussey, DMD

  • Dentist
  • Florissant, MO
  • NPI 1033100789
  NPD (past)
• Severin McCoy, DDS

  • General Practice Dentistry
  • Florissant, MO
  • NPI 1699342741
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649489113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4169 N US HIGHWAY 67",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342825",
            "telephone_number": "314-653-1200",
            "fax_number": "314-653-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4169 N US HIGHWAY 67",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342825",
            "telephone_number": "314-653-1200",
            "fax_number": "314-653-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AUSMER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-653-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "015564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerin Middleton
• Midwest Adult Day Center, Inc
• Midwest Diagnostic Medicine, LLC
• Midwest Laboratory Services LLC
• Midwest Sleep and Snore Treatment LLC
• Mijoy Courier LLC
• Tracy Ann Mike
• David Milberg, DMD
• Danika Miller
• Jessica Ann Miller, RN

• General Practice Dentistry in Florissant, MO
• Providers in Florissant, 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.