Organization Active NPI

Oakville Dental Care

  • General Practice Dentistry
  • Saint Louis, MO
National Provider Identifier
1801978101
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12257 Issued in MO
Legal business name
OAKVILLE DENTAL CARE
Practice address
5518 Telegraph Rd
Saint Louis, MO 63129-3575
Phone
(314) 487-0333
Fax
(314) 487-0441
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Authorized official

Name
Dr. Thomas Charles Ewing, D.D.S.NPI 1699856161
Title
Owner
Phone
(314) 487-0333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12257 MO Primary

Addresses

Primary practice location

5518 Telegraph Rd
Saint Louis, MO 63129-3575

Mailing address

6616 Towne Woods Dr
Saint Louis, MO 63129-4974
Phone (314) 846-2471

National Provider Directory

National Provider Directory

Locations

5518 Telegraph Rd
Saint Louis, MO 63129
Phone (314) 487-0333

Practitioners & affiliated clinicians

Practitioners 1

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1801978101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6616 TOWNE WOODS DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631294974",
            "telephone_number": "314-846-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5518 TELEGRAPH RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631293575",
            "telephone_number": "314-487-0333",
            "fax_number": "314-487-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKVILLE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "EWING",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-487-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "12257",
            "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 Oct 2, 2008; 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.