Brian Jospeh Oliveira, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2017026677 Issued in MO

Practice address

6650 Chippewa St
Saint Louis, MO 63109-4742

Phone

(314) 457-0613

NPI assigned

Jun 28, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790136083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6013 MCPHERSON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631121305",
            "telephone_number": "513-673-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 CHIPPEWA ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631094742",
            "telephone_number": "314-457-0613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 College Ave Bldg 273",
            "address_purpose": "LOCATION",
            "city": "Alton",
            "state": "IL",
            "postal_code": "620024742",
            "country_code": "US",
            "telephone_number": "618-474-7164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVEIRA",
        "first_name": "BRIAN",
        "middle_name": "JOSPEH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.030750",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2017026677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olive Branch Home Health Care
• Olive Surgical Group, LTD.
• Hallie Katherine Olive, B.A.
• Marcos Vinicius Oliveira Marques, MD
• Thiago W Oliveira Mendes
• Gisele Ramos Oliveira, M.D. M.SC. PH.D.
• Jose L Oliver Segarra
• Carol Lynne Oliver, MBA, MA, LPC
• Ella Blythe Oliver
• Emily Oliver, PHARMD

• General Practice Dentistry in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.