Ivey DDS and Rosenthal DMD PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

IVEY DDS AND ROSENTHAL DMD PC

Doing business as

Oral & Maxillo-Facial Surgery at the Crossing

Practice address

853 Medical Dr
Ste 115
Wentzville, MO 63385

Phone

(636) 887-3100

Fax

(636) 887-3102

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David M Ivey, DDSNPI 1851472856

Title

President

Phone

(636) 887-3100

Specialties & licenses 1

Addresses

Other names 1

• ORAL & MAXILLO-FACIAL SURGERY AT THE CROSSING Doing business as

Practitioners 1

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.

• David M Ivey, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Saint Louis, MO
  • NPI 1851472856
  NPD Authorized official

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861618811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 MEDICAL DR",
            "address_2": "STE 115",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "63385",
            "telephone_number": "636-887-3100",
            "fax_number": "636-887-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 MEDICAL DR",
            "address_2": "STE 115",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "63385",
            "telephone_number": "636-887-3100",
            "fax_number": "636-887-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVEY DDS AND ROSENTHAL DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IVEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-887-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ORAL & MAXILLO-FACIAL SURGERY AT THE CROSSING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David M Ilardi, PLPC
• In Home Health, LLC (ProMedica Hospice (Wentzville))
• Kristen Lynn Indelicato, LCSW, MSW
• Julie Ingle, FNP-BC
• Adonika Isom-Smith, LMSW
• Aubrey Lynn Jaeger, MD
• Kimberly A James
• Karlee Elaine Jasinski, M.ED., PLPC
• Omar W Jassim, MD, PHD
• Jay Hauptman D.C. P.C.

• Oral and Maxillofacial Surgery (Dentist) in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.