Individual provider Active NPI

Homer R Tourkakis, DDS

  • Dentist
  • Arnold, MO
National Provider Identifier
1760463335
Registry record updated Aug 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14159 Issued in MO
Practice address
3613 Richardson Square Dr
Suite 100
Arnold, MO 63010-6027
Phone
(636) 461-0093
NPI assigned
Nov 9, 2005
Last updated
Aug 10, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14159 MO Primary

Addresses

Primary practice location

3613 Richardson Square Dr
Suite 100
Arnold, MO 63010-6027

Mailing address

3613 Richardson Square Dr
Suite 100
Arnold, MO 63010-6027
Phone (636) 461-0093

Other identifiers 1

IdentifierTypeStateIssuer
402015507MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14159MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kathryn Reuther DDS PC CurrentSince Feb 23, 2025 Accepting new patients

Locations

3613 Richardson Square Dr
Ste 100
Arnold, MO 63010
Phone (636) 461-0093

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249862400000",
    "number": "1760463335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 RICHARDSON SQUARE DR",
            "address_2": "SUITE 100",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630106027",
            "telephone_number": "636-461-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 RICHARDSON SQUARE DR",
            "address_2": "SUITE 100",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630106027",
            "telephone_number": "636-461-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOURKAKIS",
        "first_name": "HOMER",
        "middle_name": "R",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2009-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "14159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402015507",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; 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.