CREVE COEUR PERIODONTICS, INC.
NPI 1174799415
Dentist - Periodontics in Creve Coeur, MO

NPI Status: Active since May 06, 2008

Contact Information

11709 OLD BALLAS RD
SUITE 206
CREVE COEUR, MO
ZIP 63141
Phone: (314) 567-3760
Fax: (314) 567-3929

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  • Organization
  • Dentist
  • Periodontics

About CREVE COEUR PERIODONTICS, INC.

This page provides the complete NPI Profile along with additional information for Creve Coeur Periodontics, Inc., a provider established in Creve Coeur, Missouri operating as a Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1174799415 assigned on May 2008. The practitioner's primary taxonomy code is 1223P0300X with license number 14247 (MO). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Marwan Assaf D.m.d., M.s.d. (Owner)

NPI
1174799415
Provider Name
CREVE COEUR PERIODONTICS, INC.
Entity Type
Organization
Location Address
11709 OLD BALLAS RD SUITE 206 CREVE COEUR, MO 63141
Location Phone
(314) 567-3760
Location Fax
(314) 567-3929
Mailing Address
11709 OLD BALLAS RD SUITE 206 CREVE COEUR, MO 63141
Mailing Phone
(314) 567-3760
Mailing Fax
(314) 567-3929
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-06-2008
Last Update Date
05-06-2008
Code Navigator

A dentist like Creve Coeur Periodontics, Inc. is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Periodontics

Taxonomy Code
1223P0300X
Type
Dental Providers
License No.
14247
License State
MO
Taxonomy Description
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MARWAN ASSAF D.M.D., M.S.D.

Authorized Official Title
OWNER
Authorized Official Phone
(314) 567-3760

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174799415
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211441491842
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 4 + 9 + 1 + 8 + 4 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1174799415 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811996689DR. MEENA DHAWAN PH.D.
Individual
Psychologist11709 OLD BALLAS RD SUITE 103
SAINT LOUIS, MO 63141
(314) 993-8950
1285648576DR. HARRY JOHN VISSER DPM
Individual
Podiatrist (Foot & Ankle Surgery)11709 OLD BALLAS RD SUITE 201
CREVE COEUR, MO 63141
(314) 432-1903
1467466763DR. CARMINA QUIROGA DPM
Individual
Podiatrist (Foot & Ankle Surgery)11709 OLD BALLAS RD SUITE 201
CREVE COEUR, MO 63141
(314) 432-1903
1962418277DR. JEFFREY SCOTT BROOKS DPM
Individual
Podiatrist (Foot & Ankle Surgery)11709 OLD BALLAS RD SUITE 201
CREVE COEUR, MO 63141
(314) 432-1903
1386650414DR. ROBERT KELSO DUDDY DPM
Individual
Podiatrist (Foot & Ankle Surgery)11709 OLD BALLAS RD SUITE 201
CREVE COEUR, MO 63141
(314) 432-1903
1467468520DR. BRENT V STROMBERG MD
Individual
Plastic Surgery11709 OLD BALLAS RD SUITE 201
CREVE COEUR, MO 63141
(314) 997-8828
1134139181DR. THOMAS V OLIVIER MD
Individual
Plastic Surgery11709 OLD BALLAS RD SUITE 201
CREVE COEUR, MO 63141
(314) 997-8828
1033226543DR. LARRY WILSON THOMAS D.D.S.
Individual
Dentist (Pediatric Dentistry)11709 OLD BALLAS RD STE 200
CREVE COEUR, MO 63141
(314) 872-8590
1124194766DR. JENNIFER A DELANEY MD
Individual
Internal Medicine11709 OLD BALLAS RD
ST LOUIS, MO 63141
(314) 993-1200
1790852267DR. TAWANA KIESHAWN WARE DDS
Individual
Dentist (Pediatric Dentistry)11709 OLD BALLAS RD SUITE 104
CREVE COEUR, MO 63141
(314) 567-1122
1952462368 SHARON ARFT P.T.
Individual
Physical Therapist11709 OLD BALLAS RD SUITE 130
SAINT LOUIS, MO 63141
(314) 432-1500
1821153636MID-WEST PODIATRY & ASSOCIATES, LLC
Organization
Podiatrist (Foot & Ankle Surgery)11709 OLD BALLAS RD SUITE 201
CREVE COEUR, MO 63141
(314) 432-1903
1447396908 ALFONSO L AMATO P.T.
Individual
Physical Therapist11709 OLD BALLAS RD SUITE 205
SAINT LOUIS, MO 63141
(314) 991-0480
1861523581DR. MARWAN ASSAF DMD,MSD
Individual
Dentist (Periodontics)11709 OLD BALLAS RD SUITE 206
SAINT LOUIS, MO 63141
(314) 567-3760
1295956167DR. MILTON A RUBIN PHD
Individual
Psychologist11709 OLD BALLAS RD SUITE 105
CREVE COEUR, MO 63141
(314) 993-6070
1245451749DR. RYAN LEE RADER D.M.D
Individual
Dentist (Periodontics)11709 OLD BALLAS RD SUITE 206
CREVE COEUR, MO 63141
(314) 567-3760
1760697965DR. DOUGLAS JOHN FOX D.D.S.,M.S.,P.C.
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)11709 OLD BALLAS RD
CREVE COEUR, MO 63141
(314) 567-3444
1780895771 JACK BENNETT PT
Individual
Physical Therapist11709 OLD BALLAS RD SUITE 205
SAINT LOUIS, MO 63141
(314) 991-0480
1730409053 KATHERINE LONDON KIENTZLE MA PLPC
Individual
Counselor (Professional)11709 OLD BALLAS RD SUITE 103
SAINT LOUIS, MO 63141
(314) 432-2428
1174885081 CYNTHIA WEPPLER MPT
Individual
Physical Therapist11709 OLD BALLAS RD SUITE 205
SAINT LOUIS, MO 63141
(314) 991-0480

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174799415, enumerated in the NPI registry as an "organization" on May 06, 2008

The provider is located at 11709 Old Ballas Rd Suite 206 Creve Coeur, Mo 63141 and the phone number is (314) 567-3760

This medical organization specializes in Dentist with taxonomy code 1223P0300X with a focus in Periodontics

This NPI record was last updated on May 06, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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