RICHARD MCDERMOTT DDS MS ORTHODONTICS LLC (NPI# 1720398910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720398910 |
| Entity Type | Organization |
| Organization Name | RICHARD MCDERMOTT DDS MS ORTHODONTICS LLC |
| Other Organization Name | LEGACY ORTHODONTICS |
| Practice Address |
3837 Vaile Ave Sutie G Florissant MO 63034 |
| Mailing Address |
3837 Vaile Ave Suite G Florissant MO 63034 |
| Practice Telephone | 3148319399 |
| Practice Fax Number | 3148318146 |
| Mailing Telephone | 3148319399 |
| Mailing Fax Number | 3148318146 |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |
| Authorized Official Name | KAREN SUE MCCANN (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 6182813399 |
| Is Organization Subpart | Y |
| Parent Organization Name | RICHARD MCDERMOTT DDS MS ORTHODONTICS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
31267 | MO | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Legacy Orthodontics | Doing Business As Name - Organization |
| Street Address |
3837 VAILE AVE SUTIE G |
| City | FLORISSANT |
| State | MO |
| Zip Code | 63034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528188851 | A M Healthcare Enterprises, Ltd. | Home Health | 3837 Vaile Ave, Suite A, Florissant, MO 63034-2210 | 2007-03-30 |
| 1871842740 | A M Healthcare Adult Day Care | Clinic/Center | 3837 Vaile Ave, Suite D, Florissant, MO 63034 | 2012-09-06 |
| 1619291895 | A M Healthcare Enterprises, Ltd. | Home Health | 3837 Vaile Ave, Suite A, Florissant, MO 63034-2210 | 2010-03-17 |
| 1972779791 | Angela Renee Bowlson | Homemaker | 3837 Vaile Ave, Suite A, Florissant, MO 63034-2210 | 2008-05-01 |
| 1487827788 | A M Healthcare Enterprises, Ltd | Home Health | 3837 Vaile Ave, Suite A, Florissant, MO 63034-2210 | 2008-04-08 |
| 1497927289 | A M Healthcare Enterprises, Ltd | Home Health | 3837 Vaile Ave, Suite A, Florissant, MO 63034-2210 | 2008-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518588052 | Sharon Denise Cox | Licensed Practical Nurse | 4045 Ashbury Crossings Dr, Florissant, MO 63034 | 2020-05-06 |
| 1063061778 | Abundant Life Senior Care LLC | Registered Nurse | 15606 Brunswick Manor, Florissant, MO 63034 | 2019-09-05 |
| 1821583600 | Icu Cds | Home Health | 4069 Ashbury Crossing Dr, Florissant, MO 63034 | 2018-06-25 |
| 1700377280 | Taylormade Healthcare Services, LLC | Home Health | 39 Jost Manor Ct, Florissant, MO 63034 | 2018-05-21 |
| 1841797503 | Sherrel Nichole Townsend | Home Health Aide | 39 Jost Manor Ct., Florissant, MO 63034 | 2018-04-10 |
| 1902315757 | Active Care Home Health Services LLC | Home Health | 14115 Candlewyck, Florissant, MO 63034 | 2017-09-25 |
| 1932655297 | Tiaarra Hackett | Home Health Aide | 14420 Old Halls Ferry Road, Suite 201 A, Florissant, MO 63034 | 2016-08-28 |
| 1932552817 | Always Carings Home Health Care | Home Health | 3812 Ketucky Derby Drive, Florissant, MO 63034 | 2016-07-15 |
| 1881088516 | Frankie Young | Assisted Living Facility | 3812 Kentucky Derby Drive, Florissant, MO 63034 | 2015-03-19 |
| 1881036432 | Tawanta L Johnson | Nurse Practitioner | 3957 Albers Pointe Dr, Florissant, MO 63034 | 2013-07-24 |
| Find all providers in zip 63034 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700172806 | Children's Dental Zone | Clinic/Center | 13410 New Halls Ferry Rd, Florissant, MO 63033-3035 | 2011-06-27 |
| 1477840387 | The W Dental Group | Clinic/Center | 13410 New Halls Ferry Rd, Florissant, MO 63033-3035 | 2011-06-30 |
| 1285843763 | People's Health Centers, Inc. | Clinic/Center | 11642 W Florissant Ave, Florissant, MO 63033-6723 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444740 | Ressel Family Dentistry LLC | Clinic/Center | 1 E Broadway Ste A, Columbia, MO 65203-4205 | 2020-10-16 |
| 1467059980 | Valudental Independence LLC | Clinic/Center | 600 E Us Highway 24, Independence, MO 64050-2910 | 2020-10-07 |
| 1144835828 | Rem Dds, LLC | Clinic/Center | 10000 Watson Rd Ste 2mm, Saint Louis, MO 63126-1848 | 2020-09-10 |
| 1043824832 | Pleasant Dental Care Kc | Clinic/Center | 912 E 63rd St Ste 100, Kansas City, MO 64110-3439 | 2020-08-31 |
| 1164033122 | Dental Depot of Blue Springs Pllc | Clinic/Center | 1500 S 7 Hwy, Blue Springs, MO 64014-3943 | 2020-08-13 |
| 1184235517 | Twin Creeks Family Dentistry LLC | Clinic/Center | 10560 N Ambassador Dr Ste 200, Kansas City, MO 64153-1591 | 2020-08-10 |
| 1003434234 | Jason L Allen Dmd LLC | Clinic/Center | 5147 Daggett Ave, Saint Louis, MO 63110-3009 | 2020-07-14 |
| 1538622071 | Smile Safari of Missouri | Clinic/Center | 10016 E 63rd St, Raytown, MO 64133-5102 | 2019-04-11 |
| 1275094864 | Itooth Family Dentistry, LLC | Clinic/Center | 3211 E Battlefield St Ste 100, Springfield, MO 65804-4071 | 2019-03-27 |
| 1033677901 | C. Hastings, Dds, LLC | Clinic/Center | 1709 Heritage Hills Dr, Washington, MO 63090-4621 | 2019-03-08 |
| Find all providers with the same taxonomy | ||||
| City | FLORISSANT |
| Zip Code | 63034 |
Please comment or provide details below to improve the information on RICHARD MCDERMOTT DDS MS ORTHODONTICS LLC.
| 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.