Active NPI
Emily Hurley, DDS
- Dentist
- Chesterfield, MO
National Provider Identifier
1679987580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2014015542
- Practice address
- 14377 Woodlake Dr
Suite 211
Chesterfield, MO 63017-5735 - Phone
- (314) 576-1777
- Fax
- (314) 576-4584
- NPI assigned
- Jun 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2014015542 | MO | Primary |
Addresses
Primary practice location
14377 Woodlake Dr
Suite 211
Chesterfield, MO 63017-5735
Mailing address
14377 Woodlake Dr
Suite 211
Chesterfield, MO 63017-5735
Phone (314) 576-1777
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2014015542 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hurley Family Dentistry LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Chesterfield, MO
- NPI 1346605219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494374400000",
"number": "1679987580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14377 WOODLAKE DR",
"address_2": "SUITE 211",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630175735",
"telephone_number": "314-576-1777",
"fax_number": "314-576-4584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14377 WOODLAKE DR",
"address_2": "SUITE 211",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630175735",
"telephone_number": "314-576-1777",
"fax_number": "314-576-4584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURLEY",
"first_name": "EMILY",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-18",
"last_updated": "2017-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2014015542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.