NPIMap

Organization Active NPI

Harold John Scanlon DDS PC

  • Dentist
  • Saint Peters, MO
National Provider Identifier
1679545404
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HAROLD JOHN SCANLON DDS PC
Practice address
3004 S Saint Peters Pkwy
Suite I
Saint Peters, MO 63303-6354
Phone
(636) 441-1020
Fax
(636) 441-4360
NPI assigned
Feb 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Authorized official

Name
Dr. Harold John Scanlon, D.D.S
Title
Owner
Phone
(314) 921-4333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3004 S Saint Peters Pkwy
Suite I
Saint Peters, MO 63303-6354

Mailing address

4585 Washington St
Ste A3
Florissant, MO 63033-5858
Phone (314) 921-4333

National Provider Directory

National Provider Directory

Locations

4585 Washington St
Ste A3
Florissant, MO 63033
Phone (314) 921-4333

3004 S Saint Peters Pkwy
Ste I
Saint Peters, MO 63303
Phone (636) 441-1020

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1679545404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4585 WASHINGTON ST",
            "address_2": "STE A3",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630335858",
            "telephone_number": "314-921-4333",
            "fax_number": "314-921-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 S SAINT PETERS PKWY",
            "address_2": "SUITE I",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633036354",
            "telephone_number": "636-441-1020",
            "fax_number": "636-441-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD JOHN SCANLON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "SCANLON",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-921-4333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.