Individual provider Active NPI

Sonu Muthuvalliappan, DMD

  • Dentist
  • O'Fallon, MO
National Provider Identifier
1730345455
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2008015950 Issued in MO
Practice address
1338 Sunburst Dr
O Fallon, MO 63366-3491
Phone
(636) 272-3503
NPI assigned
Aug 1, 2008
Last updated
Aug 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2008015950 MO Primary

Addresses

Primary practice location

1338 Sunburst Dr
O Fallon, MO 63366-3491

Mailing address

1338 Sunburst Dr
O Fallon, MO 63366-3491
Phone (636) 272-3503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150923000639 MO Order and Referring Only - DentistPractitioner - Dentist 4183931181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri Dental Professionals, Richard Straus, DMD, PC Past Accepting new patients
Arch Dentistry & Sleep Apnea Center LLC Dentist PastSince Feb 4, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217548800000",
    "number": "1730345455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 SUNBURST DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633663491",
            "telephone_number": "636-272-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 SUNBURST DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633663491",
            "telephone_number": "636-272-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTHUVALLIAPPAN",
        "first_name": "SONU",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2008015950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

Verify at the official NPI Registry.