Active NPI
Gary Kijanka, DMD
- Dentist
- Saint Louis, MO
National Provider Identifier
1770676645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2025051251
- Practice address
- 6979 Chippewa St
Saint Louis, MO 63109-3039 - Phone
- (561) 307-1361
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2025051251 | MO | Primary |
| General Practice Dentistry | 1223G0001X | DN14241 | FL |
Addresses
Primary practice location
6979 Chippewa St
Saint Louis, MO 63109-3039
Mailing address
10333 N Military TRL Ste B
West Palm Beach, FL 33410-4601
Phone (561) 776-3116
Other practice location 1
10333 N Military Trl
Suite B
West Palm Beach, FL 33410-4601
Phone (561) 776-3116
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025051251 | MO | MD | Dentist |
| DN14241 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ramani Dentistry PA | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Palm Beach Gardens, FL
- NPI 1164395349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1770676645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10333 N MILITARY TRL STE B",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334104601",
"telephone_number": "561-776-3116",
"fax_number": "561-776-3165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6979 CHIPPEWA ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631093039",
"telephone_number": "561-307-1361"
}
],
"practiceLocations": [
{
"address_1": "10333 N Military Trl",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334104601",
"country_code": "US",
"telephone_number": "561-776-3116",
"fax_number": "561-776-3165",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIJANKA",
"first_name": "GARY",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2025051251",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN14241",
"primary": false
}
],
"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 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.