NPIMap

Organization Active NPI

Alex Sharifian D.D.S., Creve Coeur Dentistry, P.C.

Doing business as Creve Coeur Dentistry

  • Dentist
  • Creve Coeur, MO
National Provider Identifier
1821487596
Registry record updated Jan 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ALEX SHARIFIAN D.D.S., CREVE COEUR DENTISTRY, P.C.
Doing business as
Creve Coeur Dentistry
Practice address
11437 Olive Blvd
Creve Coeur, MO 63141-7108
Phone
(314) 355-2000
Fax
(314) 355-3000
NPI assigned
Jan 17, 2015
Last updated
Jan 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2015

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

Authorized official

Name
Alex Sharifian, DDS
Title
Owner
Phone
(314) 355-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

11437 Olive Blvd
Creve Coeur, MO 63141-7108

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8900

Other names 1

  • Creve Coeur Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

11437 Olive Blvd
Saint Louis, MO 63141
Phone (314) 355-2000

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1421452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421452800000",
    "number": "1821487596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8900",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11437 OLIVE BLVD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417108",
            "telephone_number": "314-355-2000",
            "fax_number": "314-355-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX SHARIFIAN D.D.S., CREVE COEUR DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-17",
        "last_updated": "2015-01-17",
        "status": "A",
        "authorized_official_last_name": "SHARIFIAN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-355-2000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creve Coeur Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2015; 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.