Active NPI
Marc R Sattovia, DMD
- Dentist
- Chesterfield, MO
National Provider Identifier
1780606434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 20071
- Practice address
- 16100 Chesterfield Pkwy W
Suite 320
Chesterfield, MO 63017-4871 - Phone
- (636) 532-3208
- Fax
- (636) 532-1371
- NPI assigned
- Jul 24, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 20071 | MO | Primary |
Addresses
Primary practice location
16100 Chesterfield Pkwy W
Suite 320
Chesterfield, MO 63017-4871
Mailing address
16100 Chesterfield Pkwy W
Suite 320
Chesterfield, MO 63017-4871
Phone (636) 532-3208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151209002020 | MO | Order and Referring Only - Oral Surgery | 8426359886 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20071 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marc R. Sattovia | Past | Accepting new patients | |
| Johnson & Silva, DDS, PC | Dentist | Past | Accepting new patients |
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.
-
dba Chesterfield Dental Assoc. Inc
- General Practice Dentistry
- Chesterfield, MO
- NPI 1306205893
-
dba Chesterfield Dental Associates, Inc.
- Dentist
- Chesterfield, MO
- NPI 1346268224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780606434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16100 CHESTERFIELD PKWY W",
"address_2": "SUITE 320",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630174871",
"telephone_number": "636-532-3208",
"fax_number": "636-532-1371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16100 CHESTERFIELD PKWY W",
"address_2": "SUITE 320",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630174871",
"telephone_number": "636-532-3208",
"fax_number": "636-532-1371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SATTOVIA",
"first_name": "MARC",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "20071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.