NPIMap

Organization Active NPI

Little Urban Smiles

  • Dental Hygienist
  • Saint Louis, MO
National Provider Identifier
1952715971
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
003732 Issued in MO
Legal business name
LITTLE URBAN SMILES
Practice address
1301 N Kingshighway Blvd
Ste 2
Saint Louis, MO 63113-1408
Phone
(314) 367-1434
NPI assigned
Jun 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Authorized official

Name
Talisa K Glover, R.D.H.
Title
President
Phone
(314) 367-1434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X 003732 MO Primary

Addresses

Primary practice location

1301 N Kingshighway Blvd
Ste 2
Saint Louis, MO 63113-1408

Mailing address

1301 N Kingshighway Blvd
Ste 2
Saint Louis, MO 63113-1408
Phone (314) 367-1434

National Provider Directory

National Provider Directory

Locations

1301 N Kingshighway Blvd
Ste 2
Saint Louis, MO 63113
Phone (314) 367-1434

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1952715971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N KINGSHIGHWAY BLVD",
            "address_2": "STE 2",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631131408",
            "telephone_number": "314-367-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N KINGSHIGHWAY BLVD",
            "address_2": "STE 2",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631131408",
            "telephone_number": "314-367-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE URBAN SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "TALISA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-367-1434",
        "authorized_official_credential": "R.D.H."
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "MO",
            "license": "003732",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 18, 2014; 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.