NPIMap

Organization Active NPI

James a. Kopfensteiner, DDS LLC

Doing business as St. Charles County Periodontics

  • Periodontics
  • Saint Peters, MO
National Provider Identifier
1689813347
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
015057 Issued in MO
Legal business name
JAMES A. KOPFENSTEINER, DDS LLC
Doing business as
St. Charles County Periodontics
Practice address
303 Jungermann Rd
Suite D
Saint Peters, MO 63376-5366
Phone
(636) 928-8790
Fax
(636) 928-1291
NPI assigned
Feb 19, 2009
Last updated
Apr 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Authorized official

Name
Dr. James A Kopfensteiner, D.D.S.NPI 1356433460
Title
Business Owner
Phone
(636) 928-8790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 015057 MO Primary

Addresses

Primary practice location

303 Jungermann Rd
Suite D
Saint Peters, MO 63376-5366

Mailing address

303 Jungermann Rd
Suite D
Saint Peters, MO 63376-5366
Phone (636) 928-8790

Other names 1

  • St. Charles County Periodontics Doing business as

National Provider Directory

National Provider Directory

Locations

303 Jungermann Rd
Ste D
Saint Peters, MO 63376
Phone (636) 928-8790

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1689813347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 JUNGERMANN RD",
            "address_2": "SUITE D",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633765366",
            "telephone_number": "636-928-8790",
            "fax_number": "636-928-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 JUNGERMANN RD",
            "address_2": "SUITE D",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633765366",
            "telephone_number": "636-928-8790",
            "fax_number": "636-928-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A. KOPFENSTEINER, DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "KOPFENSTEINER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "636-928-8790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MO",
            "license": "015057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Charles County Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 30, 2009; 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.