Individual provider Active NPI

Robert Andrew Frost, D.M.D.,M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Creve Coeur, MO
National Provider Identifier
1922163260
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
014838 Issued in MO
Practice address
11710 Old Ballas Rd
Suite 210
Creve Coeur, MO 63141-7076
Phone
(314) 567-1888
Fax
(314) 567-0981
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 014838 MO Primary

Addresses

Primary practice location

11710 Old Ballas Rd
Suite 210
Creve Coeur, MO 63141-7076

Mailing address

11710 Old Ballas Rd
Suite 210
Creve Coeur, MO 63141-7076
Phone (314) 567-1888

Other identifiers 1

IdentifierTypeStateIssuer
014838OtherMODENTAL SPECIALIST ORTHODO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
014838MOMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922163260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11710 OLD BALLAS RD",
            "address_2": "SUITE 210",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417076",
            "telephone_number": "314-567-1888",
            "fax_number": "314-567-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11710 OLD BALLAS RD",
            "address_2": "SUITE 210",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417076",
            "telephone_number": "314-567-1888",
            "fax_number": "314-567-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROST",
        "first_name": "ROBERT",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.M.D.,M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "014838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL SPECIALIST ORTHODO",
            "identifier": "014838",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.