Active NPI
Dimitri J Kilian
- Student in an Organized Health Care Education/Training Program
- Saint Louis, MO
National Provider Identifier
1760949218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 3437 Caroline St
Saint Louis, MO 63104-1111 - Phone
- (314) 977-2570
- NPI assigned
- Feb 20, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
3437 Caroline St
Saint Louis, MO 63104-1111
Mailing address
7629 W Gregory St
Chicago, IL 60656-1727
Phone (773) 951-8705
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1760949218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7629 W GREGORY ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606561727",
"telephone_number": "773-951-8705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3437 CAROLINE ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631041111",
"telephone_number": "314-977-2570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILIAN",
"first_name": "DIMITRI",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-20",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"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 Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.