NPIMap

Organization Active NPI

Little Smiles of Hazelwood, LLC

  • Pediatric Dentistry
  • Hazelwood, MO
National Provider Identifier
1922765866
Registry record updated Nov 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
LITTLE SMILES OF HAZELWOOD, LLC
Practice address
6309 Hazelwest CT
Hazelwood, MO 63042-1739
Phone
(314) 731-1688
NPI assigned
Nov 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2021

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

Authorized official

Name
Dr. Corey Hastings, DDSNPI 1285092320
Title
Owner/Provider
Phone
(314) 731-1688

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

6309 Hazelwest CT
Hazelwood, MO 63042-1739

Mailing address

6309 Hazelwest CT
Hazelwood, MO 63042-1739
Phone (314) 731-1688

Other names 1

  • Little Smiles of Hazelwood Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL office@littlesmilesofhazelwood.com Direct

National Provider Directory

National Provider Directory

Locations

6309 Hazelwest Ct
Hazelwood, MO 63042
Phone (314) 731-1688

Practitioners & affiliated clinicians

Practitioners 4

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": "1638057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638057600000",
    "number": "1922765866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 HAZELWEST CT",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421739",
            "telephone_number": "314-731-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6309 HAZELWEST CT",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421739",
            "telephone_number": "314-731-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE SMILES OF HAZELWOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-28",
        "last_updated": "2021-11-28",
        "certification_date": "2021-11-28",
        "status": "A",
        "authorized_official_last_name": "HASTINGS",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "314-731-1688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "office@littlesmilesofhazelwood.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "6309 Hazelwest Ct",
            "city": "Hazelwood",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630421739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Little Smiles of Hazelwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hazelwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2021; 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.