NPIMap

Organization Active NPI

Jeffrey P. Smith D.D.S. P.C.

  • General Practice Dentistry
  • Saint Charles, MO
National Provider Identifier
1992910947
Registry record updated Jul 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13930 Issued in MO
Legal business name
JEFFREY P. SMITH D.D.S. P.C.
Practice address
3101 Droste Rd
Saint Charles, MO 63301-1109
Phone
(636) 723-5423
Fax
(636) 946-3372
NPI assigned
May 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2007

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

Authorized official

Name
Dr. Jeffrey P. Smith, D.D.S.NPI 1376743039
Title
President
Phone
(636) 723-5423

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 13930 MO Primary

Addresses

Primary practice location

3101 Droste Rd
Saint Charles, MO 63301-1109

Mailing address

3101 Droste Rd
Saint Charles, MO 63301-1109
Phone (636) 723-5423

Other names 1

  • Parkside Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3101 Droste Rd
Saint Charles, MO 63301
Phone (636) 723-5423

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": "1178928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184457600000",
    "number": "1992910947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 DROSTE RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633011109",
            "telephone_number": "636-723-5423",
            "fax_number": "636-946-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 DROSTE RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633011109",
            "telephone_number": "636-723-5423",
            "fax_number": "636-946-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY P. SMITH D.D.S. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-12",
        "last_updated": "2007-07-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-723-5423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "13930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkside Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2007; 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.