Active NPI
Henry Martin Altepeter III, M.D.
- Specialist
- Saint Louis, MO
National Provider Identifier
1992792295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- R9112
- Practice address
- 621 S New Ballas Rd
Suite 7011B
Saint Louis, MO 63141-8232 - Phone
- (314) 251-6840
- Fax
- (314) 251-7249
- NPI assigned
- Oct 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | R9112 | MO | Primary |
Addresses
Primary practice location
621 S New Ballas Rd
Suite 7011B
Saint Louis, MO 63141-8232
Mailing address
621 S New Ballas Rd
Suite 7011B
Saint Louis, MO 63141-8232
Phone (314) 251-6840
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020025370 | Other | MO | RAILROAD MEDICARE |
| P01112396 | Other | MO | RAILROAD MEDICARE |
| 1992792295 | Medicaid | MO |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- haltepeter99602@directc.mercy.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406073600000",
"number": "1992792295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 S NEW BALLAS RD",
"address_2": "SUITE 7011B",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418232",
"telephone_number": "314-251-6840",
"fax_number": "314-251-7249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 S NEW BALLAS RD",
"address_2": "SUITE 7011B",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418232",
"telephone_number": "314-251-6840",
"fax_number": "314-251-7249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTEPETER",
"first_name": "HENRY",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-02",
"last_updated": "2014-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MO",
"license": "R9112",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "020025370",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01112396",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992792295",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
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- Alaina Altenbernd, OD
- James J Altenbernd, O.D.
- Thomas William Altenbernd, O.D.
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- Allison Ann Althoff
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.