Individual provider Active NPI

Muhammad Amber Fareed, BDS, MSC, PHD,FRACDS

  • Dentist
  • St. Louis, MO
National Provider Identifier
1982549820
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2026015611 Issued in MO
Practice address
1500 Park Ave.
St. Louis, MO 63104
Phone
(314) 833-2736
Fax
(314) 588-8437
NPI assigned
Apr 20, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2026015611 MO Primary

Addresses

Primary practice location

1500 Park Ave.
St. Louis, MO 63104

Mailing address

2400 Clayborn Dr
Chesterfield, MO 63017-7818
Phone (314) 833-2736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2026015611MOMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1776643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1982549820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 CLAYBORN DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177818",
            "telephone_number": "314-833-2736",
            "fax_number": "314-588-8437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PARK AVE.",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63104",
            "telephone_number": "314-833-2736",
            "fax_number": "314-588-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAREED",
        "first_name": "MUHAMMAD AMBER",
        "name_prefix": "Dr.",
        "credential": "BDS, MSC, PHD,FRACDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2026015611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.