Individual provider Active NPI

Zachary Varble, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Saint Charles, MO
National Provider Identifier
1669627865
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2009005777 Issued in MO
Practice address
2050 Bluestone Dr
Saint Charles, MO 63303-5977
Phone
(618) 531-8702
NPI assigned
Dec 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 019027145 IL
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 12011272A IN
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 2009005777 MO Primary

Addresses

Primary practice location

2050 Bluestone Dr
Saint Charles, MO 63303-5977

Mailing address

2050 Bluestone Dr
Saint Charles, MO 63303-5977
Phone (618) 531-8702

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

LicenseStateTypeSpecialty
019027145ILMDOrthodontics and Dentofacial Orthopedic Dentist
12011272AINMDOrthodontics and Dentofacial Orthopedic Dentist
2009005777MOMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1669627865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 BLUESTONE DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035977",
            "telephone_number": "618-531-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 BLUESTONE DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035977",
            "telephone_number": "618-531-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARBLE",
        "first_name": "ZACHARY",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-02",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "019027145",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IN",
            "license": "12011272A",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "2009005777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; 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.