NPIMap

Organization Active NPI

Missouri Lifetime Dental Professionals, Richard Straus, D.M.D., P.C.

  • General Practice Dentistry
  • Saint Louis, MO
National Provider Identifier
1659021673
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MISSOURI LIFETIME DENTAL PROFESSIONALS, RICHARD STRAUS, D.M.D., P.C.
Practice address
605 Old Ballas Rd Ste 130
Saint Louis, MO 63141-7070
Phone
(314) 256-2135
NPI assigned
Mar 24, 2022
Organization subpart
Yes
Parent organization
JAY F. HAUSER, DDS, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Celia Hayes
Title
Credentialing Coordinator
Phone
(217) 540-8905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

605 Old Ballas Rd Ste 130
Saint Louis, MO 63141-7070

Mailing address

605 Old Ballas Rd Ste 130
Saint Louis, MO 63141-7070
Phone (314) 256-2135

Other names 1

  • Premier Dental Partners West County - Old Ballas Oral Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Missouri Lifetime Dental Professionals Richard Straus DMD PC2 organizations share this tax ID, including this one
Part of
Lifetime Dental Care of Missouri Richard Straus DMD PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1659021673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 OLD BALLAS RD STE 130",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417070",
            "telephone_number": "314-256-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 OLD BALLAS RD STE 130",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417070",
            "telephone_number": "314-256-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI LIFETIME DENTAL PROFESSIONALS, RICHARD STRAUS, D.M.D., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAY F. HAUSER, DDS, PC",
        "enumeration_date": "2022-03-24",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-8905"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dental Partners West County - Old Ballas Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Dental Partners West County - Old Ballas Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 8, 2023; 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.