Organization Active NPI

Archway Endodontics LLC

Doing business as Archway Endodontics

  • Endodontics
  • Saint Louis, MO
National Provider Identifier
1699445163
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
ARCHWAY ENDODONTICS LLC
Doing business as
Archway Endodontics
Practice address
16 Hampton Village PLZ Ste 225
Saint Louis, MO 63109-2128
Phone
(314) 916-5757
Fax
(314) 916-5758
NPI assigned
Sep 16, 2021
Last updated
Sep 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Authorized official

Name
Tyman Loveless, DMD, MD
Title
Owner
Phone
(314) 916-5757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X Primary

Addresses

Primary practice location

16 Hampton Village PLZ Ste 225
Saint Louis, MO 63109-2128

Mailing address

16 Hampton Village PLZ Ste 225
Saint Louis, MO 63109-2128
Phone (314) 916-5757

Other names 1

  • Archway Endodontics Doing business as

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, 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": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1699445163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HAMPTON VILLAGE PLZ STE 225",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092128",
            "telephone_number": "314-916-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HAMPTON VILLAGE PLZ STE 225",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092128",
            "telephone_number": "314-916-5757",
            "fax_number": "314-916-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHWAY ENDODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "LOVELESS",
        "authorized_official_first_name": "TYMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-916-5757",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Archway Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 16, 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.