Organization Active NPI

Kirkwood Dental Care Ronald K Greif DDS PC

Doing business as Contemporary Dental Arts Lisa D. Haines DMD

  • General Practice Dentistry
  • Kirkwood, MO
National Provider Identifier
1790841559
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2003016572 Issued in MO
Legal business name
KIRKWOOD DENTAL CARE RONALD K GREIF DDS PC
Doing business as
Contemporary Dental Arts Lisa D. Haines DMD
Practice address
11001 Manchester Rd
Kirkwood, MO 63122-1243
Phone
(314) 966-7778
NPI assigned
Dec 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Joe Jindela
Title
General Manager
Phone
(314) 966-7778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2003016572 MO Primary

Addresses

Primary practice location

11001 Manchester Rd
Kirkwood, MO 63122-1243

Mailing address

11001 Manchester Rd
Kirkwood, MO 63122-1243
Phone (314) 966-7778

Other names 1

  • Contemporary Dental Arts Lisa D. Haines DMD Doing business as

National Provider Directory

National Provider Directory

Locations

11001 Manchester Rd
Kirkwood, MO 63122
Phone (314) 966-7778

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790841559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 MANCHESTER RD",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631221243",
            "telephone_number": "314-966-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 MANCHESTER RD",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631221243",
            "telephone_number": "314-966-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRKWOOD DENTAL CARE RONALD K GREIF DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JINDELA",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "314-966-7778"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2003016572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Contemporary Dental Arts Lisa D. Haines DMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirkwood, 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.