Dental Professionals, Richard Straus, D.M.D., P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

DENTAL PROFESSIONALS, RICHARD STRAUS, D.M.D., P.C.

Doing business as

Premier Dental Partners West County - Old Ballas Oral Surgery

Practice address

605 Old Ballas Rd Ste 130
Creve Coeur, MO 63141-7070

Phone

(314) 256-2135

NPI assigned

Feb 6, 2023

Organization subpart

Yes

Parent organization

HEARTLAND DENTALAs reported in NPPES

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

Authorized official

Name

Hillary Thull

Title

Credentialing Coordiantor

Phone

(217) 540-8946

Specialties & licenses 1

Addresses

Other names 1

• Premier Dental Partners West County - Old Ballas Oral Surgery Doing business as

Tax ID family

Missouri Lifetime Dental Professionals Richard Straus DMD PC2 organizations share this tax ID, including this one

Part of

Missouri Lifetime Dental Professionals Richard Straus DMD PC

Other organizations with this tax ID 1

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

• Missouri Lifetime Dental Professionals, Richard Straus, D.M.D., P.C.

  dba Premier Dental Partners West County - Old Ballas Oral Surgery

  • General Practice Dentistry
  • Saint Louis, MO
  • NPI 1659021673
  NPD tax ID

Locations

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1730885393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 OLD BALLAS RD STE 130",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 OLD BALLAS RD STE 130",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417070",
            "telephone_number": "314-256-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PROFESSIONALS, RICHARD STRAUS, D.M.D., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEARTLAND DENTAL",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "THULL",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_title_or_position": "CREDENTIALING COORDIANTOR",
        "authorized_official_telephone_number": "217-540-8946"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dental Partners West County - Old Ballas Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kourtney Dean, CCC-SLP
• Cindy Decker, LHIS
• Delmar Gardens of Creve Coeur Operating, LLC (Delmar Gardens of Creve Coeur)
• Delta Spinal Rehab P.C.
• Joseph Paulson Demosthene, MS, ATC,EMT-B, CPT
• Kayla Detienne
• Rohan Devanpalli-Ramaya, M.D
• Rupinderjit Singh Dhillon, MD
• Maria Dietrich, M.S. CCC-SLP
• Peyton Gabriel Dietz

• Oral and Maxillofacial Surgery (Dentist) in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.