Isaac Julius, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2023023792 Issued in MO

Practice address

1819 S Hanley Rd
Brentwood, MO 63144-2905

Phone

(314) 818-3201

NPI assigned

Jun 19, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1700561602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 LA BONNE PKWY",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630217005",
            "telephone_number": "314-629-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 S HANLEY RD",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631442905",
            "telephone_number": "314-818-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULIUS",
        "first_name": "ISAAC",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2023023792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dante Joseph Iannazzo, D.C.
• Srdjan Ilic-Siljak, DMD
• Mary Randall Ivy, MSDE
• Nicole R Jackson, DPT
• Susan Johnson, RSAP
• Megan Kartheiser, M.ED, LPC, RPT
• Sweta Kavali, M.D.
• Kimberly Kayser, PLPC
• Holly Beth King, PMHNP-BC
• Landre Elizabeth Kingdon, LCSW

• General Practice Dentistry in Brentwood, MO
• Providers in Brentwood, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.