Active NPI
Thomas Charles Ewing, D.D.S.
- General Practice Dentistry
- St. Louis, MO
National Provider Identifier
1699856161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12257
- Practice address
- 5518 Telegraph Road
Suite 101
St. Louis, MO 63129 - Phone
- (314) 487-0333
- Fax
- (314) 487-0441
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12257 | MO | Primary |
Addresses
Primary practice location
5518 Telegraph Road
Suite 101
St. Louis, MO 63129
Mailing address
6616 Towne Woods Dr
Saint Louis, MO 63129-4974
Phone (314) 846-2471
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 |
|---|---|---|---|
| 12257 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakville Dental Care | General Practice | Past | Accepting new patients |
| Oakville Dental Care, LLC | Past | Accepting new patients |
Organizations & group practices 2
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
- Saint Louis, MO
- NPI 1801978101
-
- Dentist
- Saint Louis, MO
- NPI 1770903924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699856161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6616 TOWNE WOODS DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631294974",
"telephone_number": "314-846-2471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5518 TELEGRAPH ROAD",
"address_2": "SUITE 101",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63129",
"telephone_number": "314-487-0333",
"fax_number": "314-487-0441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWING",
"first_name": "THOMAS",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "12257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St. Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.