NPIMap

Organization Active NPI

Heartland Family Dental Care of Missouri-Richard E. Workman DMD, PC

Doing business as Healthy Smile Care at St. Charles

  • General Practice Dentistry
  • Saint Peters, MO
National Provider Identifier
1972762334
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HEARTLAND FAMILY DENTAL CARE OF MISSOURI-RICHARD E. WORKMAN DMD, PC
Doing business as
Healthy Smile Care at St. Charles
Practice address
1600 Heritage LNDG
Suite 210
Saint Peters, MO 63303-8489
Phone
(636) 341-3466
NPI assigned
Jun 2, 2008
Last updated
Apr 25, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
HEARTLAND FAMILY DENTAL CARE OF MISSOURI-RICHARD E. WORKMAN DMD, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Authorized official

Name
Kendra Walker
Title
Credentialing Coordinator
Phone
(217) 540-8513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1600 Heritage LNDG
Suite 210
Saint Peters, MO 63303-8489

Mailing address

1600 Heritage LNDG
Suite 210
Saint Peters, MO 63303-8489

Other names 1

  • Healthy Smile Care at St. Charles Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Missouri Dental Professionals Richard Straus DMD PC60 organizations share this tax ID, including this one
Part of
Missouri Dental Professionals Richard Straus DMD PC

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1972762334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HERITAGE LNDG",
            "address_2": "SUITE 210",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633038489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HERITAGE LNDG",
            "address_2": "SUITE 210",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633038489",
            "telephone_number": "636-341-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND FAMILY DENTAL CARE OF MISSOURI-RICHARD E. WORKMAN DMD, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEARTLAND FAMILY DENTAL CARE OF MISSOURI-RICHARD E. WORKMAN DMD, PC",
        "enumeration_date": "2008-06-02",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-8513"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Smile Care at St. Charles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healthy Smile Care at St. Charles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.