NPIMap

Organization Active NPI

Missouri Dental Professionals, Richard Straus, D.M.D., P.C.

Doing business as Lake St. Louis Dental Care

  • General Practice Dentistry
  • Lake Saint Louis, MO
National Provider Identifier
1710678271
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, D.M.D., P.C.
Doing business as
Lake St. Louis Dental Care
Practice address
6492 Ronald Reagan Dr
Lake Saint Louis, MO 63367-2657
Phone
(636) 626-2071
Fax
(636) 626-2073
NPI assigned
May 16, 2023
Last updated
May 16, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, D.M.D., P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Belinda Huerta
Title
Credentialing Coordinator
Phone
(217) 540-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6492 Ronald Reagan Dr
Lake Saint Louis, MO 63367-2657

Mailing address

6492 Ronald Reagan Dr
Lake Saint Louis, MO 63367-2657
Phone (636) 626-2071

Other names 1

  • Lake St. Louis Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Missouri Dental Professionals Richard Straus DMD PC60 organizations share this tax ID, including this one
Part of
Missouri Dental Professionals Richard Straus DMD PC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

6492 Ronald Reagan Dr
Lake St Louis, MO 63367
Phone (636) 626-2071

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": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1710678271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6492 RONALD REAGAN DR",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633672657",
            "telephone_number": "636-626-2071",
            "fax_number": "636-626-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6492 RONALD REAGAN DR",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633672657",
            "telephone_number": "636-626-2071",
            "fax_number": "636-626-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, D.M.D., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, D.M.D., P.C.",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "HUERTA",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake St. Louis Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.