Angelica Song, DMD

Primary specialty

Independent Medical Examiner PhysicianTaxonomy code 202C00000X

License

2025021915 Issued in MO

Practice address

4171 Crescent Dr Ste 102
Saint Louis, MO 63129-3645

Phone

(314) 742-8038

NPI assigned

May 5, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1659160604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5712 OAKLAND AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101318",
            "telephone_number": "314-742-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4171 CRESCENT DR STE 102",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631293645",
            "telephone_number": "314-742-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "ANGELICA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "MO",
            "license": "2025021915",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seung Yeon Son, DPT
• Carrie Sona
• Laura Ann Sonby, MA, LPC
• Victoria Lynn Soncasie, MD
• David Stuart Sonderman, MD
• Bryant Minkyu Song, MD
• Melissa Lily an Song, MD
• Wilbur Madison Song, MD
• Ziyan Song, MD
• Songbird Health Mo LLC

• Independent Medical Examiner Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Independent Medical Examiner Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.