Daniel Bialecki, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2003019884 Issued in MO

Practice address

469 S Kirkwood Rd
Kirkwood, MO 63122-6119

Phone

(314) 965-6503

Fax

(314) 965-7417

NPI assigned

May 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in MO

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.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Barry D Brace, DMD & Associates, PC

  • General Practice Dentistry
  • Kirkwood, MO
  • NPI 1013112234
  NPD (past)
• St. Louis County Dental Partnership, Timothy M Grayem DDS & Associates

  • General Practice Dentistry
  • Kirkwood, MO
  • NPI 1447703590
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891902656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 LACLEDE AVE # 905",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081459",
            "telephone_number": "314-965-6503",
            "fax_number": "314-965-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 S KIRKWOOD RD",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226119",
            "telephone_number": "314-965-6503",
            "fax_number": "314-965-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIALECKI",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2003019884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Noel Bell, LCSW
• Whitney Bennett
• Kelley Berning
• Bethesda Lutheran Homes & SVCS Inc
• Britney Beussink
• Big Bend Imaging, LLC
• Andrew Joseph Biondo, O.D.
• Jason Gregory Biondo, D.C.
• Joanna Lucia Bissell, LCSW, LCSW-C, LICSW
• BJC Behavioral Health

• Dentist in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.