DR. BETH RENEE GROENKE (NPI# 1447699335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447699335 |
| Entity Type | Individual |
| Full Name | DR. BETH RENEE GROENKE |
| Credential | D.D.S. |
| Practice Address |
1403 Hampton Ave St. Louis MO 63139 |
| Mailing Address |
Po Box 8 Gerald MO 63037-0008 |
| Practice Telephone | 3149552188 |
| Mailing Telephone | 8168137212 |
| Mailing Fax Number | 5736322769 |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2020-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 2013016374 | MO | Dental Providers |
| Y | 1223X2210X | 2013016374 | MO |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Exempla Cir, Ste 360, Lafayette, CO 800268002 | 8168137212 | |
| 6-440 Moos Health Sciences Tower, 515 Delaware St, Se, Mpls, MN 554555545 | 6126260140 | 6126260138 |
| Street Address |
1403 HAMPTON AVE |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174160337 | Dawn Martina Clark | Social Worker | 1150 Graham Road, St. Louis, MO 63139 | 2019-12-06 |
| 1013479716 | Cerner Health Connections, Inc. | Pharmacy | 1403 Hampton Avenue, St. Louis, MO 63139 | 2019-04-02 |
| 1295866648 | Occupational Health Centers of Kansas Pa | Clinic/Center | 6726 Manchester Road, St. Louis, MO 63139 | 2007-03-08 |
| 1912069733 | Daniel G Armbruster Dc PC | Acupuncturist | 2730 Watson Rd, St Louis, MO 63139 | 2006-12-15 |
| 1831250125 | Kathia Denise Betts | Counselor | 3309 S. Kingshighway Blvd., St.louis, MO 63139 | 2006-12-12 |
| 1841350220 | Denzel Dean Jines II | Dentist | 2340 Hampton Avenue, Suite 3, St. Louis, MO 63139 | 2006-12-08 |
| 1285718163 | Rakhshanda Hassan | Psychiatry & Neurology | St Louis Psychiatric Rehabilitation Center, 5300 Arsenal, St Louis, MO 63139 | 2006-10-25 |
| 1952490682 | City of St. Louis | Ambulance | 2634 Hampton Avenue, City of St Louis Emergency Medical Services, St Louis, MO 63139 | 2006-10-12 |
| 1104917434 | Select Physical Therapy Holdings Inc | Clinic/Center | 1900 South Hampton, St Louis, MO 63139 | 2006-09-28 |
| 1619252707 | Lynn Sneath | Pharmacist | 5055 Arsenal St, Saint Louis, MO 63139 | 2011-10-20 |
| Find all providers in zip 63139 | ||||
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| 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.