DR. RICHARD J. VARGO (NPI# 1083082515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083082515 |
| Entity Type | Individual |
| Full Name | DR. RICHARD J. VARGO |
| Credential | DMD |
| Practice Address |
1500 Park Ave Saint Louis MO 63104 |
| Mailing Address |
1500 Park Ave Saint Louis MO 63104-3024 |
| Practice Telephone | 3146853578 |
| Mailing Telephone | 4126080320 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2020-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 2018015359 | MO | Dental Providers |
| N | 122300000X | Dentist | DS040417 | PA | Dental Providers |
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
2018015359 | MO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 400078066 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3501 Terrace St, G-132 Salk Hall Annex, Pittsburgh, PA 152132523 | 4126488616 | |
| 3660 Vista Ave Ste 312, Saint Louis, MO 631102540 | 3149775110 |
| Street Address |
1500 PARK AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487833703 | Kim Perry | Dentist | 1500 Park Ave, Saint Louis, MO 63104-3024 | 2007-11-02 |
| 1548773484 | Shuron C Bell | Dental Hygienist | 1500 Park Ave, Saint Louis, MO 63104-3024 | 2017-11-14 |
| 1811410616 | Dhruvee Sangani | Dentist | 1500 Park Ave, Saint Louis, MO 63104 | 2017-07-24 |
| 1659755189 | Akshay Vij | Dentist | 1500 Park Ave, Saint Louis, MO 63104 | 2015-07-14 |
| 1811310600 | Matthew David Greaves | Dentist | 1500 Park Ave, Saint Louis, MO 63104-3024 | 2014-01-29 |
| 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 | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275731895 | Rishad Shaikh | Dentist | 621 S New Ballas Rd, Suite 16 A, Saint Louis, MO 63141-8232 | 2007-07-05 |
| 1578628418 | Daniel Charles Stoeckel | Dentist | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2006-12-22 |
| 1558387878 | Samir Khattab El Mofty | Dentist | 425 S Euclid Ave, 3rd Floor, Saint Louis, MO 63110-1005 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619167418 | Aparna Naidu | Dentist | 650 E 25th St Rm 377, Kansas City, MO 64108 | 2007-07-27 |
| 1790833358 | Billy L Ogborn | Dentist | 66 Doctors Park, Cape Girardeau, MO 63703-4928 | 2007-01-08 |
| 1326019837 | Mitchell Duane Esquibel | Dentist | 1016 S Bishop Ave, Rolla, MO 65401-4416 | 2006-02-01 |
| 1770562068 | Bradley Alan Seyer | Dentist | 3439 Bridgeland Dr, Bridgeton, MO 63044-2604 | 2006-01-13 |
| 1932538410 | Behjat Moghadam | Dentist | 650 E 25th St, Kansas City, MO 64108-2716 | 2013-11-05 |
| 1225254253 | Curator of The University of Missouri Umkc Dental School and Clinics | Dentist | 650 E 25th St, Kansas City, MO 64108-2716 | 2007-04-18 |
| 1447475769 | Bruce F Barker | Dentist | 650 E 25th St, Kansas City, MO 64108-2716 | 2007-04-13 |
| 1407989049 | Charles L Dunlap | Dentist | 650 E 25th St, Lab of Oral Pathology, Kansas City, MO 64108-2716 | 2007-03-13 |
| 1417007600 | Robert E. Hawkins | Dentist | 4201 S Cloverleaf Dr, B, Saint Peters, MO 63376-6438 | 2007-01-11 |
| 1003929449 | James W Andrews | Dentist | 1000 W Nifong Blvd, Bldg 4 Ste 100, Columbia, MO 65203-5661 | 2006-08-17 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63104 |
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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.