Konrad Leopold Spirk, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

014615 Issued in MO

Practice address

10000 Watson Road
Suite M
Saint Louis, MO 63126-1842

Phone

(314) 965-2343

Fax

(314) 965-2343

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1881746055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 WATSON ROAD",
            "address_2": "SUITE M",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261842",
            "telephone_number": "314-965-2343",
            "fax_number": "314-965-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 WATSON ROAD",
            "address_2": "SUITE M",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261842",
            "telephone_number": "314-965-2343",
            "fax_number": "314-965-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIRK",
        "first_name": "KONRAD",
        "middle_name": "LEOPOLD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "014615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elissa Spinks
• Hailey Spinks, PHD, BCBA-D
• Grace Spinner, CNS
• Mollie Anne Spire, DO
• Mikayla Lauren Spires, DO
• Thomas Spiro, M.D.
• Madeline Grace Spirtas, DPT
• John Charles Spitler, MD
• Lenore R Spitznagel, LMT, CNMT
• Theresa Monaco L Spitznagle, PT

• General Practice Dentistry in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.