NPIMap

Organization Active NPI

Missouri Dental Professionals, Richard Straus, DMD, PC

Doing business as Big Bend Dental Care

  • General Practice Dentistry
  • Ballwin, MO
National Provider Identifier
1801016126
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, DMD, PC
Doing business as
Big Bend Dental Care
Practice address
1310 Big Bend Rd
Ballwin, MO 63021-7643
Phone
(636) 225-3900
Fax
(636) 225-3945
NPI assigned
Apr 27, 2007
Last updated
Jul 13, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, DMD, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Authorized official

Name
All Cred
Title
Credentialing
Phone
(217) 540-2100

Specialties & licenses 1

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

Addresses

Primary practice location

1310 Big Bend Rd
Ballwin, MO 63021-7643

Mailing address

1338 Big Bend Square Shopping Center
Ballwin, MO 63021
Phone (636) 225-3900

Other names 1

  • Big Bend Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Missouri Dental Professionals Richard Straus DMD PC60 organizations share this tax ID, including this one
Part of
Missouri Dental Professionals Richard Straus DMD PC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1310 Big Bend Rd
Ballwin, MO 63021
Phone (636) 225-3777

1338 Big Bend Square Shop Ctr
Ballwin, MO 63021
Phone (636) 394-9587

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": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1801016126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 BIG BEND SQUARE SHOPPING CENTER",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "63021",
            "telephone_number": "636-225-3900",
            "fax_number": "636-225-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 BIG BEND RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217643",
            "telephone_number": "636-225-3900",
            "fax_number": "636-225-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, DMD, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, DMD, PC",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "CRED",
        "authorized_official_first_name": "ALL",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Bend Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ballwin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.