Organization Active NPI

Esperanza M Pimentel MD Inc

  • Primary Care Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1942430228
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
33313 Issued in MO
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200230506MedicaidMO
081155039OtherMORAILROAD MEDICARE
21612OtherMOBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.