Active NPI
Efrain Jose Vargas, DDS
- General Practice Dentistry
- Saint Louis, MO
National Provider Identifier
1831674589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2021042338
- Practice address
- 9601 Manchester Rd
Saint Louis, MO 63119-1333 - Phone
- (314) 274-6319
- NPI assigned
- Sep 28, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019031895 | IL | |
| General Practice Dentistry | 1223G0001X | DDS105941 | CA | |
| General Practice Dentistry | 1223G0001X | 2021042338 | MO | Primary |
Addresses
Primary practice location
9601 Manchester Rd
Saint Louis, MO 63119-1333
Mailing address
9601 Manchester Rd
Saint Louis, MO 63119-1333
Phone (314) 274-6319
Other practice location 1
2995 Clairemont Dr Ste A
San Diego, CA 92117-6766
Phone (858) 200-0827
Other practice location 2
3737 Murphy Canyon Rd Ste C-2
San Diego, CA 92123-4454
Phone (858) 694-0790
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS105941 | CA | MD | General Practice Dentistry |
| 2021042338 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Heights Dentistry, PLLC | Dentist | Past | Accepting new patients |
| Alex Sharifian DDS Rock Hill Dentistry PC | Dentist | Past | Accepting new patients |
| Katayoun Afshar and Afshin Habashi Dental Corporation | General Practice | Past | Accepting new patients |
| Huynh and Habashi Dental Corporation | Dentist | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Saint Louis, MO
- NPI 1962936765
-
- Dentist
- Fairview Heights, IL
- NPI 1811558208
-
- Dentist
- San Diego, CA
- NPI 1801341813
-
- General Practice Dentistry
- San Diego, CA
- NPI 1265763197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1831674589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9601 MANCHESTER RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631191333",
"telephone_number": "314-274-6319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9601 MANCHESTER RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631191333",
"telephone_number": "314-274-6319"
}
],
"practiceLocations": [
{
"address_1": "2995 Clairemont Dr Ste A",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921176766",
"country_code": "US",
"telephone_number": "858-200-0827",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3737 Murphy Canyon Rd Ste C-2",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921234454",
"country_code": "US",
"telephone_number": "858-694-0790",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VARGAS",
"first_name": "EFRAIN",
"middle_name": "JOSE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-28",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019031895",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "DDS105941",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "2021042338",
"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 Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.