NPIMap

Organization Active NPI

Jack M. Marincel, D.D.S., P.C.

  • Dental Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1780797308
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
13331 Issued in MO
Legal business name
JACK M. MARINCEL, D.D.S., P.C.
Practice address
6060 Telegraph Rd
Suite H
Saint Louis, MO 63129-4762
Phone
(314) 846-1480
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Michael Marincel, D.D.S.NPI 1851474803
Title
President
Phone
(314) 846-1480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 13331 MO Primary

Addresses

Primary practice location

6060 Telegraph Rd
Suite H
Saint Louis, MO 63129-4762

Mailing address

6060 Telegraph Rd
Suite H
Saint Louis, MO 63129-4762
Phone (314) 846-1480

National Provider Directory

National Provider Directory

Locations

6060 Telegraph Rd
Ste H
Saint Louis, MO 63129
Phone (314) 846-1480

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": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780797308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 TELEGRAPH RD",
            "address_2": "SUITE H",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631294762",
            "telephone_number": "314-846-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 TELEGRAPH RD",
            "address_2": "SUITE H",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631294762",
            "telephone_number": "314-846-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK M. MARINCEL, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARINCEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-846-1480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "13331",
            "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 Aug 22, 2020; 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.