Christopher Adam Palmer, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2007019244 Issued in MO

Practice address

12147 Natural Bridge Rd
Bridgeton, MO 63044-2018

Phone

(314) 739-3700

NPI assigned

Jun 11, 2008

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 4, 2016 through Apr 4, 2028

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 and National Provider Directory roles.

• Carrollwood Dental Group LLC

  • General Practice Dentistry
  • Bridgeton, MO
  • NPI 1821216060
  NPD (past)
• Dr Susan Adams

  • Endodontics
  • Ballwin, MO
  • NPI 1891851515
  NPD (past)
• Edp of Missouri PC

  • Dental Clinic/Center
  • Creve Coeur, MO
  • NPI 1457867590
  NPD (past)

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1881854149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12147 NATURAL BRIDGE RD",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442018",
            "telephone_number": "314-739-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12147 NATURAL BRIDGE RD",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442018",
            "telephone_number": "314-739-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "CHRISTOPHER",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2007019244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Owens
• Khristina Mari Pabon
• Manisha P Pachbhai, CRNA
• Josey Mitchell Page Jr., M.D.
• Alli Palmer, M.S. CF-SLP
• Ronald L Palmer, MD
• Daniella Palomino
• Nina M Palumbo, MSW, LCSW
• Arturo J Pamaong, MD
• Sharad P Parikh, MD

• General Practice Dentistry in Bridgeton, MO
• Providers in Bridgeton, 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 Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.