NPIMap

Organization Active NPI

Stadnyk & Drissell & Associates P.C.

  • Dentist
  • Ballwin, MO
National Provider Identifier
1710907258
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D010702 Issued in MO
Legal business name
STADNYK & DRISSELL & ASSOCIATES P.C.
Practice address
980 Kehrs Mill Rd
Ballwin, MO 63011-2402
Phone
(636) 230-7557
Fax
(636) 394-2895
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Harry W. Stadnyk, DDSNPI 1104834936
Title
President
Phone
(636) 230-7557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D010702 MO Primary

Addresses

Primary practice location

980 Kehrs Mill Rd
Ballwin, MO 63011-2402

Mailing address

980 Kehrs Mill Rd
Ballwin, MO 63011-2402
Phone (636) 230-7557

Other names 1

  • Kehrs Mill Dental Arts Doing business as

National Provider Directory

National Provider Directory

Locations

980 Kehrs Mill Rd
Ballwin, MO 63011
Phone (636) 230-7557

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710907258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 KEHRS MILL RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112402",
            "telephone_number": "636-230-7557",
            "fax_number": "636-394-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 KEHRS MILL RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112402",
            "telephone_number": "636-230-7557",
            "fax_number": "636-394-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STADNYK & DRISSELL & ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STADNYK",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-230-7557",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "D010702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kehrs Mill Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ballwin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.