NPIMap

Organization Active NPI

Shelly L. Sarich DDS,Ms and Spencer Elmore DDS, Ms, PC

  • Endodontics
  • Dardenne Prairie, MO
National Provider Identifier
1720412463
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
SHELLY L. SARICH DDS,MS AND SPENCER ELMORE DDS, MS, PC
Practice address
1053 Rondale CT
Dardenne Prairie, MO 63368-7368
Phone
(636) 379-4500
Fax
(636) 272-4551
NPI assigned
Aug 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Authorized official

Name
Dr. Shelly L Sarich, DDSNPI 1841218807
Title
President
Phone
(636) 379-4500

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

1053 Rondale CT
Dardenne Prairie, MO 63368-7368

Mailing address

1053 Rondale CT
Dardenne Prairie, MO 63368-7368
Phone (636) 379-4500

National Provider Directory

National Provider Directory
Tax ID family
Shelly L Sarich DDS Ms PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1053 Rondale Ct
Dardenne Prairie, MO 63368
Phone (636) 379-4500

Practitioners & affiliated clinicians

Practitioners 2

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": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1720412463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 RONDALE CT",
            "city": "DARDENNE PRAIRIE",
            "state": "MO",
            "postal_code": "633687368",
            "telephone_number": "636-379-4500",
            "fax_number": "636-272-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 RONDALE CT",
            "city": "DARDENNE PRAIRIE",
            "state": "MO",
            "postal_code": "633687368",
            "telephone_number": "636-379-4500",
            "fax_number": "636-272-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLY L. SARICH DDS,MS AND SPENCER ELMORE DDS, MS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "SARICH",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-379-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dardenne Prairie, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.