NPIMap

Organization Active NPI

Lifetime Dental Care of Missouri, Richard Straus, D.M.D., P.C.

  • General Practice Dentistry
  • Wentzville, MO
National Provider Identifier
1831561273
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LIFETIME DENTAL CARE OF MISSOURI, RICHARD STRAUS, D.M.D., P.C.
Practice address
11 Wentzville Bluffs Dr Ste 101
Wentzville, MO 63385-4534
Phone
(636) 445-3770
Fax
(636) 445-3764
NPI assigned
Oct 26, 2015
Organization subpart
Yes
Parent organization
LIFETIME DENTAL CARE OF MISSOURI, RICHARD STRAUS, D.M.D., P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Celia Hayes
Title
Credentialing Coordinator
Phone
(217) 540-2100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

11 Wentzville Bluffs Dr Ste 101
Wentzville, MO 63385-4534

Mailing address

11 Wentzville Bluffs Dr Ste 101
Wentzville, MO 63385-4534
Phone (636) 445-3770

Other names 1

  • Premier Dental Partners Wentzville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lifetime Dental Care of Missouri Richard Straus DMD PC15 organizations share this tax ID, including this one
Part of
Lifetime Dental Care of Missouri Richard Straus DMD PC

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

22 N Euclid Ave
Ste 220
Saint Louis, MO 63108
Phone (314) 361-0760

11 Wentzville Bluffs Dr
Ste 101
Wentzville, MO 63385
Phone (636) 445-3770

11 Wentzville Bluffs Dr
Wentzville, MO 63385

Practitioners & affiliated clinicians

Practitioners 2

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": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1831561273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WENTZVILLE BLUFFS DR STE 101",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633854534",
            "telephone_number": "636-445-3770",
            "fax_number": "636-445-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WENTZVILLE BLUFFS DR STE 101",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633854534",
            "telephone_number": "636-445-3770",
            "fax_number": "636-445-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME DENTAL CARE OF MISSOURI, RICHARD STRAUS, D.M.D., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFETIME DENTAL CARE OF MISSOURI, RICHARD STRAUS, D.M.D., P.C.",
        "enumeration_date": "2015-10-26",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dental Partners Wentzville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wentzville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.