NPIMap

Organization Active NPI

Donahue Dental

  • Dentist
  • Saint Charles, MO
National Provider Identifier
1881896769
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DONAHUE DENTAL
Practice address
1 Westbury Dr
Suite 240
Saint Charles, MO 63301-2541
Phone
(636) 946-6117
Fax
(636) 946-2776
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Authorized official

Name
Dr. Kyle Donahue, DDSNPI 1487740189
Title
President
Phone
(636) 946-6117

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 Primary

Addresses

Primary practice location

1 Westbury Dr
Suite 240
Saint Charles, MO 63301-2541

Mailing address

2020 Bluestone Dr
Saint Charles, MO 63303-5974
Phone (636) 946-6117

National Provider Directory

National Provider Directory

Locations

2020 Bluestone Dr
Saint Charles, MO 63303
Phone (636) 946-6117

1 Westbury Dr
Ste 240
Saint Charles, MO 63301
Phone (636) 946-6117

Practitioners & affiliated clinicians

Practitioners 1

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": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1881896769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 BLUESTONE DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035974",
            "telephone_number": "636-946-6117",
            "fax_number": "636-946-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WESTBURY DR",
            "address_2": "SUITE 240",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012541",
            "telephone_number": "636-946-6117",
            "fax_number": "636-946-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONAHUE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "DONAHUE",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-946-6117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.