ST. LOUIS UNIVERSITY (NPI# 1053467746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053467746 |
| Entity Type | Organization |
| Organization Name | ST. LOUIS UNIVERSITY |
| Other Organization Name | CENTER FOR ADVANCED DENTAL EDUCATION |
| Practice Address |
3320 Rutger St Saint Louis MO 63104-1122 |
| Mailing Address |
3320 Rutger St Room 2048 Saint Louis MO 63104-1122 |
| Practice Telephone | 3149778363 |
| Practice Fax Number | 3149778617 |
| Mailing Telephone | 3149778363 |
| Mailing Fax Number | 3149778617 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROLF G BEHRENTS (CADE EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3149778600 |
| Authorized Official Credential | DDS, MS, PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Center for Advanced Dental Education | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164767919 | St. Louis University | Occupational Therapist | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2012-12-05 |
| 1477812238 | St. Louis University | Hospitalist | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2012-05-14 |
| 1770866709 | St. Louis University | Anesthesiology | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2011-09-26 |
| 1972576577 | St. Louis University | Pathology | 1402 S Grand Blvd, Saint Louis, MO 63104-1004 | 2006-02-13 |
| Street Address |
3320 RUTGER ST |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63104-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400868 | Strater R Crowfoot | Student in an Organized Health Care Education/Training Program | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2020-06-04 |
| 1396369757 | Jamie Carolina Terrill | Student in an Organized Health Care Education/Training Program | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2020-06-02 |
| 1912528548 | Parth Mangrola | Dentist | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2020-05-05 |
| 1437778651 | Edward Hoon Lee | Dentist | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2020-04-09 |
| 1174184220 | Soo Hye Cho | Student in an Organized Health Care Education/Training Program | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2019-06-27 |
| 1487213435 | Sarah Corine Crepps | Dentist | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2019-06-12 |
| 1699332957 | Meagan Inclan | Dentist | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2019-05-22 |
| 1841701497 | Theodore Young Tutwiler | Student in an Organized Health Care Education/Training Program | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2017-10-21 |
| 1295267185 | Patrick Stamos | Dentist | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2017-03-30 |
| 1104377431 | Saint Louis University | Clinic/Center | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2016-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1023638038 | Laura Ann Humphrey | Physician Assistant | Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 | 2020-04-20 |
| 1174187264 | Ahsan Ali | Student in an Organized Health Care Education/Training Program | 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 | 2019-04-24 |
| 1205359916 | Brenda Eve Ladin | Behavior Technician | 1221 Allen Market Lane Rear, St. Louis, MO 63104 | 2017-07-25 |
| 1841722063 | Gustavo G Mendez | Student in an Organized Health Care Education/Training Program | 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 | 2017-03-28 |
| 1053776716 | Carmella Harper | Respiratory Therapist, Certified | 2678 Park Ave, St Louis, MO 63104 | 2015-12-23 |
| 1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
| 1306233341 | Healthcare R Us | Home Health | 2859 Sidney St, St Louis, MO 63104 | 2015-04-16 |
| 1396159091 | Daniela Hermelin | Pathology | 1402 South Grane, St. Louis, MO 63104 | 2014-06-20 |
| 1992117881 | Kelly Denise Durbin | Social Worker | 1920 S 7th St, Saint Louis, MO 63104 | 2014-05-27 |
| Find all providers in zip 63104 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835828 | Rem Dds, LLC | Clinic/Center | 10000 Watson Rd Ste 2mm, Saint Louis, MO 63126-1848 | 2020-09-10 |
| 1003434234 | Jason L Allen Dmd LLC | Clinic/Center | 5147 Daggett Ave, Saint Louis, MO 63110-3009 | 2020-07-14 |
| 1538630629 | A Hallie Lillmars Dds LLC | Clinic/Center | 8720 Big Bend Blvd Ste A, Saint Louis, MO 63119-3730 | 2018-12-16 |
| 1396215273 | Aaron J Cregger Dds LLC | Clinic/Center | 2821 N Ballas Rd Ste 260, Saint Louis, MO 63131-2378 | 2018-12-04 |
| 1417477985 | Midwest Mobile Dentistry LLC | Clinic/Center | 1 N Brentwood Blvd Ste 1000, Saint Louis, MO 63105-3937 | 2017-06-26 |
| 1144686320 | Raymond J Skosky, Dds,llc | Clinic/Center | 5530 Virginia Ave, Saint Louis, MO 63111-1939 | 2016-01-04 |
| 1437456001 | Plaza Health Dentistry | Clinic/Center | 9420 Watson Rd, Saint Louis, MO 63126-1529 | 2011-02-17 |
| 1780797308 | Jack M. Marincel, D.d.s., P.C. | Clinic/Center | 6060 Telegraph Rd, Suite H, Saint Louis, MO 63129-4762 | 2006-08-16 |
| 1033617386 | Carestl Health | Clinic/Center | 4500 Pope Ave, Saint Louis, MO 63115 | 2018-01-31 |
| 1245742204 | Tom Sotiropoulos Metro Dental Sleep Medicine | Clinic/Center | 11222 Tesson Ferry Rd Ste 203, Saint Louis, MO 63123-6963 | 2017-10-31 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63104 |
Please comment or provide details below to improve the information on ST. LOUIS UNIVERSITY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.