David M Ivey DDS PC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

012332 Issued in MO

Legal business name

DAVID M IVEY DDS PC

Practice address

One Mid Rivers Mall Dr
Ste 310
St Peters, MO 63376-4323

Phone

(636) 928-7217

Fax

(636) 397-1137

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

David M Ivey, DDS

Title

President

Phone

(636) 928-7217

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Clark Priddy, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Wentzville, MO
  • NPI 1598127672
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912019290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE MID RIVERS MALL DR",
            "address_2": "STE 310",
            "city": "ST PETERS",
            "state": "MO",
            "postal_code": "633764323",
            "telephone_number": "636-928-7217",
            "fax_number": "636-397-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MID RIVERS MALL DR",
            "address_2": "STE 310",
            "city": "ST PETERS",
            "state": "MO",
            "postal_code": "633764323",
            "telephone_number": "636-928-7217",
            "fax_number": "636-397-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M IVEY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IVEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-928-7217",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MO",
            "license": "012332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmad Daraghmeh, MD
• Mia Daveta, APRN
• Rebecca Ann Davey, OTRL
• David a. Lipsitz, PH.D., Inc
• David Guilbeault DMD Mid Rivers Dental Group
• Sasha Marie David
• Bradley A Davis, D.C.
• Christine Denise Davis, M.S.
• Jennifer Lueders Davis, FNP-C
• Kendall Lamont Davis Jr.

• Oral & Maxillofacial Surgery (D.M.D.) in St Peters, MO
• Providers in St Peters, MO by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.