Individual provider Active NPI

Ronald King Greif, DDS

  • Dentist
  • St Louis, MO
National Provider Identifier
1659436673
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
015316 Issued in MO
Practice address
4442 Telegraph Rd
St Louis, MO 63129-3316
Phone
(314) 487-0052
Fax
(314) 487-5054
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 015316 MO Primary

Addresses

Primary practice location

4442 Telegraph Rd
St Louis, MO 63129-3316

Mailing address

4442 Telegraph Rd
St Louis, MO 63129-3316
Phone (314) 487-0052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250607000019 MO Order and Referring Only - DentistPractitioner - Dentist 2062588478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015316MOMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659436673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4442 TELEGRAPH RD",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631293316",
            "telephone_number": "314-487-0052",
            "fax_number": "314-487-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4442 TELEGRAPH RD",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631293316",
            "telephone_number": "314-487-0052",
            "fax_number": "314-487-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREIF",
        "first_name": "RONALD",
        "middle_name": "KING",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "015316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis, MO

Sources for this page

Verify at the official NPI Registry.