Individual provider Active NPI

Jeffrey Drissell, D.D.S.

  • General Practice Dentistry
  • Ballwin, MO
National Provider Identifier
1801388327
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2018017827 Issued in MO
Practice address
980 Kehrs Mill Rd
Ballwin, MO 63011-2402
Phone
(636) 230-7557
NPI assigned
May 31, 2018
Last updated
May 31, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2018017827 MO Primary

Addresses

Primary practice location

980 Kehrs Mill Rd
Ballwin, MO 63011-2402

Mailing address

10374 Old Olive Street Rd Apt 340
Saint Louis, MO 63141-5909
Phone (314) 852-0713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2018017827MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Helling & Drissell DDS, LLC General Practice CurrentSince Sep 4, 2022 Accepting new patients
Stadnyk & Drissell & Associates P.C. Past Accepting new patients

Locations

980 Kehrs Mill Rd
Ballwin, MO 63011
Phone (636) 230-7557

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1801388327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10374 OLD OLIVE STREET RD APT 340",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415909",
            "telephone_number": "314-852-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 KEHRS MILL RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112402",
            "telephone_number": "636-230-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISSELL",
        "first_name": "JEFFREY",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2018017827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 31, 2018; 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.