NPIMap

Organization Active NPI

Kingston Dental Center

  • Dentist
  • Saint Louis, MO
National Provider Identifier
1992966741
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
015316 Issued in MO
Legal business name
KINGSTON DENTAL CENTER
Practice address
4442 Telegraph Road
Saint Louis, MO 63129
Phone
(314) 487-0052
Fax
(314) 487-5054
NPI assigned
Jun 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Ronald K Greif, DDS
Title
Owner
Phone
(314) 487-0052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 015316 MO Primary

Addresses

Primary practice location

4442 Telegraph Road
Saint Louis, MO 63129

Mailing address

4442 Telegraph Road
Saint Louis, MO 63129
Phone (314) 487-0052

National Provider Directory

National Provider Directory

Locations

4442 Telegraph Rd
Saint Louis, MO 63129
Phone (314) 487-0052

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": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1992966741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4442 TELEGRAPH ROAD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63129",
            "telephone_number": "314-487-0052",
            "fax_number": "314-487-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4442 TELEGRAPH ROAD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63129",
            "telephone_number": "314-487-0052",
            "fax_number": "314-487-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSTON DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "GREIF",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-487-0052",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "015316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.