Stephen Eugene Christy, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

2006007560 Issued in MO

Practice address

2071 Collier Corporate Pkwy
Saint Charles, MO 63303-6701

Phone

(636) 947-7979

Fax

(636) 947-3553

NPI assigned

Apr 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1992924427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 MONTICELLO PL",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253195",
            "telephone_number": "618-910-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2071 COLLIER CORPORATE PKWY",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633036701",
            "telephone_number": "636-947-7979",
            "fax_number": "636-947-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTY",
        "first_name": "STEPHEN",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026823",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2006007560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiropro of St Charles Mo, LLC
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• Andrea D Chrismer-Still, LPC
• Kathleen F. Christlieb, PA
• Christopher Derix
• City of St Charles
• Dylan Troy Clamors, ATC
• Ralph Clark, LMT
• Clarkson Optometry Inc
• Clay Street Healthcare LLC

• Dentist in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.