NPIMap

Organization Active NPI

Jonathan a Shanker DDS Ms & Brian a Schlueter DMD Ms PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Saint Louis, MO
National Provider Identifier
1750611844
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
JONATHAN A SHANKER DDS MS & BRIAN A SCHLUETER DMD MS PC
Practice address
12111 Tesson Ferry Professional Ctr
Saint Louis, MO 63128-1250
Phone
(314) 842-4105
Fax
(314) 842-3580
NPI assigned
Jan 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Authorized official

Name
Dr. Jonathan Arthur Shanker, DDSNPI 1427142728
Title
Doctor
Phone
(314) 842-4105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

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

Mailing address

12111 Tesson Ferry Professional Ctr
Saint Louis, MO 63128-1250
Phone (314) 842-4105

National Provider Directory

National Provider Directory

Locations

12111 Tesson Ferry Professional Ctr
Saint Louis, MO 63128
Phone (314) 635-7510

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1750611844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12111 TESSON FERRY PROFESSIONAL CTR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281250",
            "telephone_number": "314-842-4105",
            "fax_number": "314-842-3580"
        },
        {
            "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": "314-842-4105",
            "fax_number": "314-842-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN A SHANKER DDS MS & BRIAN A SCHLUETER DMD MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-12",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "SHANKER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "314-842-4105",
        "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": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.