Genevieve Marie Otto, DDS, MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2010040607 Issued in MO

Practice address

12360 Manchester Rd.
Ste 204
Des Peres, MO 63131-4302

Phone

(314) 900-6886

Fax

(636) 887-3694

NPI assigned

May 12, 2011

Last updated

Feb 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Genevieve Marie Otto Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richard Goldberg DMD PC

  dba St. Louis Orthodontic Group

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chesterfield, MO
  • NPI 1508022393
  NPD (past)

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1851683510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 SCHROEDER CREEK BLVD.",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853558",
            "telephone_number": "314-900-6886",
            "fax_number": "636-887-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12360 MANCHESTER RD.",
            "address_2": "STE 204",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631314302",
            "telephone_number": "314-900-6886",
            "fax_number": "636-887-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTO",
        "first_name": "GENEVIEVE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-12",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "2010040607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENEVIEVE",
            "last_name": "OTTO",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Ophthalmology Consultants, LLC
• Ophthalmology Consultants, LLC
• Jessica Otte, MPT
• Thomas J Panasci, M.D.
• Sajel Shailesh Patel
• Personalized Educational Resources, L.L.C.
• Kelli Plute, M.S, CCC-SLP
• Preferred PT Des Peres LLC (Preferred PT Des Peres)

• Orthodontics and Dentofacial Orthopedics Dentistry in Des Peres, MO
• Providers in Des Peres, MO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.