Organization Active NPI

Saint John Dental Office

  • General Practice Dentistry
  • Saint Louis, MO
National Provider Identifier
1699439125
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SAINT JOHN DENTAL OFFICE
Practice address
8938 Saint Charles Rock Rd
Saint Louis, MO 63114-4238
Phone
(314) 225-4256
NPI assigned
Oct 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Authorized official

Name
Scott RubisNPI 1689731408
Title
Dentist
Phone
(314) 225-4256

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

8938 Saint Charles Rock Rd
Saint Louis, MO 63114-4238

Mailing address

15255 Nooning Tree CT # NA
Chesterfield, MO 63017-4401
Phone (314) 225-4256

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1635638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1699439125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15255 NOONING TREE CT # NA",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174401",
            "telephone_number": "314-225-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8938 SAINT CHARLES ROCK RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631144238",
            "telephone_number": "314-225-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JOHN DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-31",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "RUBIS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "314-225-4256"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.