Organization Active NPI

Brenda Switzer, D.D.S., LLC

  • Dentist
  • Saint Louis, MO
National Provider Identifier
1861630139
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
015334 Issued in MO
Legal business name
BRENDA SWITZER, D.D.S., LLC
Practice address
2229 South 12TH St
Saint Louis, MO 63104
Phone
(314) 771-3011
Fax
(314) 771-4401
NPI assigned
Jan 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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

Authorized official

Name
Dr. Brenda D Switzer, DDSNPI 1487631313
Title
Owner Dentist
Phone
(314) 771-3011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 015334 MO Primary

Addresses

Primary practice location

2229 South 12TH St
Saint Louis, MO 63104

Mailing address

2229 Soth 12TH St
Saint Louis, MO 63104
Phone (314) 771-3011

Other names 1

  • Soulard Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2229 S 12th St
Saint Louis, MO 63104
Phone (314) 771-3011

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": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1861630139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2229 SOTH 12TH ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63104",
            "telephone_number": "314-771-3011",
            "fax_number": "314-771-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2229 SOUTH 12TH ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63104",
            "telephone_number": "314-771-3011",
            "fax_number": "314-771-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA SWITZER, D.D.S., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "SWITZER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "314-771-3011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "015334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soulard Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 26, 2009; 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.