Individual provider Active NPI

Andrew Cittadino Link, DDS

  • General Practice Dentistry
  • Ballwin, MO
National Provider Identifier
1881187391
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2018017542 Issued in MO
Practice address
14335 Manchester Road
Ballwin, MO 63011
Phone
(636) 496-8584
NPI assigned
Jun 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2018017542 MO Primary

Addresses

Primary practice location

14335 Manchester Road
Ballwin, MO 63011

Mailing address

324 Stark CT
Webster Groves, MO 63119-3131
Phone (636) 496-8584

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2018017542MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Allan L Link DMD & Associates LLC General Practice CurrentSince Aug 29, 2021 Accepting new patients

Locations

14335 Manchester Rd
Manchester, MO 63011
Phone (636) 391-7208

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1881187391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 STARK CT",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631193131",
            "telephone_number": "636-496-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14335 MANCHESTER ROAD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "63011",
            "telephone_number": "636-496-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINK",
        "first_name": "ANDREW",
        "middle_name": "CITTADINO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-08",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2018017542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballwin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.

Verify at the official NPI Registry.