Organization Active NPI

Ruth C Gomes DMD LLC

  • Dentist
  • Saint Louis, MO
National Provider Identifier
1700199817
Registry record updated Jul 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RUTH C GOMES DMD LLC
Practice address
421 Edgewood Dr
Saint Louis, MO 63105-2015
Phone
(314) 956-0450
NPI assigned
Jul 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2010

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

Authorized official

Name
Ruth Gomes, DMD
Title
Member
Phone
(314) 956-0450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

421 Edgewood Dr
Saint Louis, MO 63105-2015

Mailing address

421 Edgewood Dr
Saint Louis, MO 63105-2015

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1279324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279324800000",
    "number": "1700199817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 EDGEWOOD DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631052015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 EDGEWOOD DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631052015",
            "telephone_number": "314-956-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTH C GOMES DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-17",
        "last_updated": "2010-07-17",
        "status": "A",
        "authorized_official_last_name": "GOMES",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "314-956-0450",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jul 17, 2010; 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.