NPIMap

Organization Active NPI

Des Peres Family Medicine

  • Family Medicine Physician
  • St Louis, MO
National Provider Identifier
1710012729
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R9G32 Issued in MO
Legal business name
DES PERES FAMILY MEDICINE
Doing business as
Demetrios V Politis DO
Practice address
2325 Dougherty Ferry Rd Suite 104
St Louis, MO 63122-3356
Phone
(314) 965-1965
Fax
(314) 965-1700
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Dr. Demetrios V Politis, DO
Title
Physician
Phone
(314) 965-1965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X R9G32 MO Primary

Addresses

Primary practice location

2325 Dougherty Ferry Rd Suite 104
St Louis, MO 63122-3356

Mailing address

2325 Dougherty Ferry Rd Suite 104
St Louis, MO 63122-3356
Phone (314) 965-1965

Other names 1

  • Demetrios V Politis DO Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1710012729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 DOUGHERTY FERRY RD SUITE 104",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631223356",
            "telephone_number": "314-965-1965",
            "fax_number": "314-965-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 DOUGHERTY FERRY RD SUITE 104",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631223356",
            "telephone_number": "314-965-1965",
            "fax_number": "314-965-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DES PERES FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "POLITIS",
        "authorized_official_first_name": "DEMETRIOS",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "314-965-1965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R9G32",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Demetrios V Politis DO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 11, 2008; 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.