Op Orthodontics of Missouri

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

OP ORTHODONTICS OF MISSOURI

Practice address

12111 Tesson Ferry Professional Ctr
Saint Louis, MO 63128-1250

Phone

(314) 635-7510

NPI assigned

Aug 30, 2023

Organization subpart

Yes

Parent organization

OP ORTHODONTICS OF MISSOURIAs reported in NPPES

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

Authorized official

Name

Stacy Pope

Title

Project Manager

Phone

(616) 283-8867

Specialties & licenses 1

Addresses

Other names 1

• Embrace Our World Orthodontics Doing business as

Tax ID family

Op Orthodontics of Missouri3 organizations share this tax ID, including this one

Part of

Op Orthodontics of Missouri

Other organizations with this tax ID 2

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

• Op Orthodontics of Missouri

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • St. Louis, MO
  • NPI 1093463184
  NPD tax ID
• Op Orthodontics of Missouri

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Columbia, MO
  • NPI 1124701149
  NPD tax ID

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1750166484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 PATTERSON AVE SE STE 110",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495129758",
            "telephone_number": "616-283-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12111 TESSON FERRY PROFESSIONAL CTR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281250",
            "telephone_number": "314-635-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OP ORTHODONTICS OF MISSOURI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OP ORTHODONTICS OF MISSOURI",
        "enumeration_date": "2023-08-30",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "616-283-8867"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Embrace Our World Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Embrace Our World Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Obinna Okechukwu-David Onyeukwu, MD
• Onyx Management Services Organization LLC
• Onyx Spine Institute, LLC
• Onyx Transitional Care Centers, LLC
• Op Orthodontics of Missouri
• Irene Tekwor Opai Tetteh, MD
• Open Arms Wellness LLC
• Open Gate Therapy LLC
• Open Hearts CDS
• Open Imaging Partners

• Orthodontics and Dentofacial Orthopedics Dentistry in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.