Richard McDermott DDS Ms Orthodontics LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

31267 Issued in MO

Legal business name

RICHARD MCDERMOTT DDS MS ORTHODONTICS LLC

Doing business as

Legacy Orthodontics

Practice address

3837 Vaile Ave
Sutie G
Florissant, MO 63034

Phone

(314) 831-9399

Fax

(314) 831-8146

NPI assigned

Oct 21, 2010

Organization subpart

Yes

Parent organization

RICHARD MCDERMOTT DDS MS ORTHODONTICS LLCAs reported in NPPES

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

Authorized official

Name

Karen Sue McCann

Title

Practice Administrator

Phone

(618) 281-3399

Specialties & licenses 1

Addresses

Other names 1

• Legacy Orthodontics Doing business as

Part of

Columbia Orthodontics

Locations

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1720398910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3837 VAILE AVE",
            "address_2": "SUITE G",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "63034",
            "telephone_number": "314-831-9399",
            "fax_number": "314-831-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3837 VAILE AVE",
            "address_2": "SUTIE G",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "63034",
            "telephone_number": "314-831-9399",
            "fax_number": "314-831-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD MCDERMOTT DDS MS ORTHODONTICS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RICHARD MCDERMOTT DDS MS ORTHODONTICS LLC",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "MCCANN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "618-281-3399"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "31267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lachanda Rice
• Mary Saviano Rice, OTR
• Richard a. Lester, DDS, PC
• Richard C Curtis Senior Services LLC
• Richard J White DDS LLC
• David Richard IV
• Vivian Richard
• Michael Richardson
• Alice Damaris Richmond, MAC, LPC
• Jamie Camille Riddle, LPC

• Dental Clinic/Center in Florissant, MO
• Providers in Florissant, MO by specialty
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.