NPIMap

Organization Active NPI

Elizabeth R Fassler DDS PC

  • General Practice Dentistry
  • Festus, MO
National Provider Identifier
1972601201
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D15559 Issued in MO
Legal business name
ELIZABETH R FASSLER DDS PC
Practice address
110 South 2ND St
Festus, MO 63028
Phone
(636) 937-5118
Fax
(636) 937-3643
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Elizabeth Reitz Fassler, DDSNPI 1124180922
Title
Owner Dentist
Phone
(636) 937-5118

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D15559 MO Primary

Addresses

Primary practice location

110 South 2ND St
Festus, MO 63028

Mailing address

110 South 2ND St
Festus, MO 63028
Phone (636) 937-5118

National Provider Directory

National Provider Directory

Locations

110 S 2nd St
Festus, MO 63028
Phone (636) 937-5118

Practitioners & affiliated clinicians

Practitioners 1

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972601201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SOUTH 2ND ST",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "63028",
            "telephone_number": "636-937-5118",
            "fax_number": "636-937-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SOUTH 2ND ST",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "63028",
            "telephone_number": "636-937-5118",
            "fax_number": "636-937-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH R FASSLER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FASSLER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "REITZ",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "636-937-5118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "D15559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.