DECO DENTAL (NPI# 1760690614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760690614 |
| Entity Type | Organization |
| Organization Name | DECO DENTAL |
| Practice Address |
1391 Smizer Mill Rd Fenton MO 63026-7306 |
| Practice Telephone | 6363492400 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ADAM DECOTA (DENTIST) |
| Authorized Official Telephone | 6363492400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 1807416-2 | MO | Managed Care Organizations |
| Street Address |
1391 SMIZER MILL RD |
| City | FENTON |
| State | MO |
| Zip Code | 63026-7306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386707396 | Jerald A Maslanko | Internal Medicine | 1391 Smizer Mill Rd, Fenton, MO 63026-7306 | 2006-12-19 |
| 1619584372 | Kristin N Rein | Physical Therapist | 1391 Smizer Mill Rd, Fenton, MO 63026-7306 | 2020-09-28 |
| 1356840607 | Angela Durham | Physical Therapist | 1391 Smizer Mill Rd, Fenton, MO 63026-7306 | 2018-02-01 |
| 1336508845 | Summit Bhc Saint Louis, LLC | Substance Abuse Rehabilitation Facility | 1391 Smizer Mill Rd, Suite 101, Fenton, MO 63026-7306 | 2016-02-12 |
| 1518381524 | Emily Tiedemann | Physical Therapist | 1391 Smizer Mill Rd, Fenton, MO 63026-7306 | 2014-02-11 |
| 1740602762 | Fenton Family Eyecare, LLC | Optometrist | 1391 Smizer Mill Rd, Suite 102, Fenton, MO 63026-7306 | 2014-01-09 |
| 1023241437 | Vito Vricella | Optometrist | 1391 Smizer Mill Rd, Suite 102, Fenton, MO 63026-7306 | 2009-09-01 |
| 1083844922 | Day Optometry, Inc. | Eyewear Supplier (Equipment, not the service) | 1391 Smizer Mill Rd, Suite 102, Fenton, MO 63026-7306 | 2009-07-24 |
| 1669694071 | Adam Decota | Dentist | 1391 Smizer Mill Rd, Suite 104, Fenton, MO 63026-7306 | 2007-05-03 |
| 1780806109 | Jennifer Decota | Dentist | 1391 Smizer Mill Rd, Suite 104, Fenton, MO 63026-7306 | 2007-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000372 | Allison Egler | Audiologist | 1011 Bowles Ave Ste 405, Fenton, MO 63026 | 2018-01-05 |
| 1629508213 | Holly Brooks Munson | Massage Therapist | 220 Copper Mountain Dr, Fenton, MO 63026 | 2017-06-15 |
| 1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
| 1871981704 | Celtic Private Care of Il & Mo, LLC | In Home Supportive Care | 1653 Larkin Williams Road, Suite 201, Fenton, MO 63026 | 2014-12-30 |
| 1356747513 | Kristina Potts | Nurse Practitioner | 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 | 2014-11-14 |
| 1245642420 | Physicians Health Group Medical Inc | General Practice | 960 S. Highway Dr, Fenton, MO 63026 | 2014-05-22 |
| 1598047409 | Kevin Eugene Bruce | Pharmacist | 1210 Sugar Creek, Fenton, MO 63026 | 2011-09-16 |
| 1215186382 | Concentra Health Services, Inc. | Clinic/Center | 128 Matrix Commons Dr., Fenton, MO 63026 | 2008-09-15 |
| 1790954410 | Castlewood Treatment Center LLC | Community/Behavioral Health | 1855 Bowles Ave, Suite 210, Fenton, MO 63026 | 2008-02-27 |
| 1073703617 | Christina R Baeres | Dietitian, Registered | 38 Majestic Ct, Fenton, MO 63026 | 2007-07-30 |
| Find all providers in zip 63026 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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|---|---|---|---|---|
| 1134785231 | Electronic Billing Services Inc | Point of Service | 138 N Prairie St, Sikeston, MO 63801-4251 | 2019-05-14 |
| 1497210629 | Paradise Group Home LLC | Point of Service | 121 Front Street, Risco, MO 63874 | 2019-02-01 |
| 1922578996 | Jerrilyn Diane Adkisson | Point of Service | 208 N Ingram Rd, Sikeston, MO 63801-5233 | 2018-12-03 |
| 1245777838 | A Better Home Life, LLC | Point of Service | 11345 Cadigan Dr, Saint Louis, MO 63138-2325 | 2017-01-20 |
| 1790136216 | Cornerstone Therapy Services | Point of Service | 7905 Big Bend Blvd Ste 206, Webster Groves, MO 63119-2715 | 2016-06-27 |
| 1811355308 | Apex Home Health Services LLC | Point of Service | 4431 Saint Leo Ln, Saint Ann, MO 63074-1241 | 2016-01-29 |
| 1720446214 | Precision Home Health Services LLC | Point of Service | 4436 Saint Leo Ln, Saint Ann, MO 63074-1222 | 2016-01-29 |
| 1306222146 | North Pointe Home Care LLC | Point of Service | 3821 Pointe Forest Dr, Florissant, MO 63034-1015 | 2015-08-04 |
| 1609273036 | True Care Transportation | Point of Service | 16830 Babler View Dr, Wildwood, MO 63011-1814 | 2014-12-01 |
| 1962803965 | Jones Beltone Hearing Center | Point of Service | 1011 N Morley St, Suite B, Moberly, MO 65270-2790 | 2014-09-09 |
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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.