NPIMap

Organization Active NPI

Dr. Stephen Eugene Christy D.M.D.

  • Dentist
  • Saint Louis, MO
National Provider Identifier
1801257274
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2006007560 Issued in MO
Legal business name
DR. STEPHEN EUGENE CHRISTY D.M.D.
Practice address
3707 Watson Rd
Saint Louis, MO 63109-1236
Phone
(314) 645-6400
Fax
(314) 335-7080
NPI assigned
Mar 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Authorized official

Name
Mrs. Mary Kay Bohn
Title
Office Manager
Phone
(314) 645-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2006007560 MO Primary

Addresses

Primary practice location

3707 Watson Rd
Saint Louis, MO 63109-1236

Mailing address

3707 Watson Rd
Saint Louis, MO 63109-1236
Phone (314) 645-6400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1801257274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631091236",
            "telephone_number": "314-645-6400",
            "fax_number": "314-335-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631091236",
            "telephone_number": "314-645-6400",
            "fax_number": "314-335-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. STEPHEN EUGENE CHRISTY D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "BOHN",
        "authorized_official_first_name": "MARY KAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-645-6400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "2006007560",
            "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 Mar 14, 2016; 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.