Gateway Little Smiles, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

GATEWAY LITTLE SMILES, LLC

Doing business as

Gateway Little Smiles

Practice address

4758 Mid Rivers Mall Dr
Cottleville, MO 63376-2883

Phone

(314) 496-3562

NPI assigned

Apr 11, 2021

Last updated

Apr 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Corey Hastings, DDSNPI 1285092320

Title

Owner

Phone

(314) 496-3562

Specialties & licenses 1

Addresses

Other names 1

• Gateway Little Smiles Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Corey Hastings, DDS, MS

  • Pediatric Dentistry
  • Saint Louis, MO
  • NPI 1285092320
  NPD (past) Authorized official

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

{
    "created_epoch": "1618099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618099200000",
    "number": "1740860063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 CEDAR ST",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630902324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4758 MID RIVERS MALL DR",
            "city": "COTTLEVILLE",
            "state": "MO",
            "postal_code": "633762883",
            "telephone_number": "314-496-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY LITTLE SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-11",
        "last_updated": "2021-04-11",
        "certification_date": "2021-04-11",
        "status": "A",
        "authorized_official_last_name": "HASTINGS",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-496-3562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.gatewaylittlesmiles.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4758 Mid Rivers Mall Dr",
            "city": "Cottleville",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633762883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Gateway Little Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beau Devereux Butzirus, DMD
• Collective Therapy (Collective Therapy, LLC)
• Austin Michael Conrod, DC, MS
• Taylor K Eudy, M.ED., LPC
• Shari M. Flanagan, D.C.
• Michael P Genovese, DDS
• Carissa Marie Gianino, D.C.
• Golf Rehab STL
• Carley Hall, AGNP-C
• Thomas J Harrison, MD

• Pediatric Dentistry in Cottleville, MO
• Providers in Cottleville, MO by specialty
• Pediatric Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2021; 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.