Organization Active NPI

Perryville Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Perryville, MO
National Provider Identifier
1730713330
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
PERRYVILLE ORTHODONTICS LLC
Practice address
121 S Main St
Perryville, MO 63775-2524
Phone
(573) 547-8375
NPI assigned
Feb 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Authorized official

Name
Dr. Rebecca Schreiner, DDS
Title
Orthodontist
Phone
(314) 518-1088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

121 S Main St
Perryville, MO 63775-2524

Mailing address

121 S Main St
Perryville, MO 63775-2524
Phone (573) 547-8375

Other names 1

  • Unger Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

121 S Main St
Perryville, MO 63775
Phone (573) 547-8374

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1730713330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S MAIN ST",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637752524",
            "telephone_number": "573-547-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S MAIN ST",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637752524",
            "telephone_number": "573-547-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRYVILLE ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "SCHREINER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "314-518-1088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unger Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perryville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.