NPIMap

Organization Active NPI

Dalin Dental Associates

  • General Practice Dentistry
  • Creve Coeur, MO
National Provider Identifier
1770569659
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13310 Issued in MO
Legal business name
DALIN DENTAL ASSOCIATES
Practice address
555 N New Ballas Rd Ste 355
Creve Coeur, MO 63141-6825
Phone
(314) 567-3555
Fax
(314) 567-3563
NPI assigned
Dec 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Authorized official

Name
Dr. Jeffrey Dalin, D.D.S.
Title
President
Phone
(314) 567-3555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 13310 MO Primary

Addresses

Primary practice location

555 N New Ballas Rd Ste 355
Creve Coeur, MO 63141-6825

Mailing address

555 N New Ballas Rd Ste 355
Creve Coeur, MO 63141-6825
Phone (314) 567-3555

National Provider Directory

National Provider Directory

Locations

555 N New Ballas Rd
Ste 355
Saint Louis, MO 63141
Phone (314) 567-3555

Practitioners & affiliated clinicians

Practitioners 2

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": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1770569659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N NEW BALLAS RD STE 355",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416825",
            "telephone_number": "314-567-3555",
            "fax_number": "314-567-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N NEW BALLAS RD STE 355",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416825",
            "telephone_number": "314-567-3555",
            "fax_number": "314-567-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALIN DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "DALIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-567-3555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "13310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.