Organization Active NPI

K Jobe DDS LLC

  • Dental Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1811712144
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
K JOBE DDS LLC
Doing business as
Kids Smiles
Practice address
9735 Landmark Parkway Dr Ste 16
Saint Louis, MO 63127-1663
Phone
(314) 270-5817
Fax
(314) 451-8506
NPI assigned
Nov 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Wendy Wakefield
Title
Practice Administrator
Phone
(314) 270-5817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

9735 Landmark Parkway Dr Ste 16
Saint Louis, MO 63127-1663

Mailing address

9735 Landmark Parkway Dr Ste 16
Saint Louis, MO 63127-1663
Phone (314) 270-5817

Other names 1

  • Kids Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

9735 Landmark Parkway Dr
Ste 16
Saint Louis, MO 63127
Phone (314) 270-5817

NPI Registry JSON

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1811712144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 LANDMARK PARKWAY DR STE 16",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271663",
            "telephone_number": "314-270-5817",
            "fax_number": "314-451-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 LANDMARK PARKWAY DR STE 16",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271663",
            "telephone_number": "314-270-5817",
            "fax_number": "314-451-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K JOBE DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "WAKEFIELD",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "314-270-5817"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 21, 2024; 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.