Mark Eliot Osborn, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

012730 Issued in MO

Practice address

1717 Biddle St
Saint Louis, MO 63106-3454

Phone

(314) 814-8515

Fax

(314) 814-8542

NPI assigned

Jan 24, 2007

Last updated

Mar 27, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1902951551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 WEST POINT COURT",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63130",
            "telephone_number": "314-727-5963",
            "fax_number": "314-814-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 BIDDLE ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631063454",
            "telephone_number": "314-814-8515",
            "fax_number": "314-814-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "MARK",
        "middle_name": "ELIOT",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "012730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Walter Orvedahl, MD
• Daniel S Ory, MD
• Zygmunt Orzechowski, M.D.
• Amanda Orzel
• Lilian Osa-Edoh
• Meredith Shannon Osborn, NCC, CSAPP
• Tiffany M Osborn, MD
• Abigail Lee Osborne, MS, CCC-SLP
• Linda B. Osborne, R.D., L.D.
• Nicole Ann Osborne, NNP

• 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 Mar 27, 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.