Active NPI
Esperanza M Pimentel MD Inc
- Primary Care Clinic/Center
- Saint Louis, MO
National Provider Identifier
1942430228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 33313
- Legal business name
- ESPERANZA M PIMENTEL MD INC
- Practice address
- 2323 Chambers Rd
Saint Louis, MO 63136-5546 - Phone
- (314) 867-3890
- Fax
- (314) 867-2736
- NPI assigned
- Jul 21, 2009
- Last updated
- Jul 23, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Esperanza M Pimentel, MD
- Title
- President
- Phone
- (314) 867-3890
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 33313 | MO | Primary |
Addresses
Primary practice location
2323 Chambers Rd
Saint Louis, MO 63136-5546
Mailing address
2323 Chambers Rd
Saint Louis, MO 63136-5546
Phone (314) 867-3890
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200230506 | Medicaid | MO | |
| 081155039 | Other | MO | RAILROAD MEDICARE |
| 21612 | Other | MO | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
1438 E Warne Ave
Saint Louis, MO 63107
Phone (314) 381-2654
2323 Chambers Rd
Saint Louis, MO 63136
Phone (314) 867-3890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248307200000",
"number": "1942430228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 CHAMBERS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631365546",
"telephone_number": "314-867-3890",
"fax_number": "314-867-2736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 CHAMBERS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631365546",
"telephone_number": "314-867-3890",
"fax_number": "314-867-2736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESPERANZA M PIMENTEL MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-21",
"last_updated": "2009-07-23",
"status": "A",
"authorized_official_last_name": "PIMENTEL",
"authorized_official_first_name": "ESPERANZA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "314-867-3890",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "MO",
"license": "33313",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200230506",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "081155039",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "21612",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.