SAMIR EDWARD RUVINOV (NPI# 1235294257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235294257 |
| Entity Type | Individual |
| Full Name | SAMIR EDWARD RUVINOV |
| Credential | DDS |
| Practice Address |
4442 Telegraph Road St Louis MO 63129 |
| Practice Telephone | 3144870052 |
| Practice Fax Number | 3144875054 |
| Mailing Telephone | 3144870052 |
| Mailing Fax Number | 3144875054 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 016027 | MO | Dental Providers |
| Street Address |
4442 TELEGRAPH ROAD |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447730742 | Total Access Urgent Care, PC | Clinic/Center | 4400 Telegraph Road, 4400 Telegraph Road, St. Louis, MO 63129 | 2018-08-16 |
| 1679061808 | Susan Swyers Grogan | Occupational Therapist | 2806 Flamewood Drive, St. Louis, MO 63129 | 2018-04-24 |
| 1376073981 | Eric Piatchek | Specialist/Technologist | 2661 Bluff Ridge Drive, St. Louis, MO 63129 | 2017-06-15 |
| 1033647144 | Keona E Smith | Nurse Practitioner | 7334 Lindbergh Blvd, Ballwin, MO 63129 | 2017-06-02 |
| 1588036966 | Sarah Michelle Corry | Occupational Therapist | 5043 Telegraph Rd, St Louis, MO 63129 | 2015-10-26 |
| 1598169120 | Vivian Carr | Counselor | 5266 Sir Bors Drive, St. Louis, MO 63129 | 2014-10-10 |
| 1982044327 | Andrew Michael Bryant | Family Medicine | 4280 Mid America Lane, Saint Louis, MO 63129 | 2013-06-30 |
| 1306185533 | John Alexander Miller | Registered Nurse | 4220 Robert Koch Hospital Rd, Saint Louis, MO 63129 | 2013-02-07 |
| 1346597457 | Pain and Performance Relief LLC | Physical Medicine & Rehabilitation | 4175 Crescent Dr Ste A, Saint Louis, MO 63129 | 2012-08-08 |
| 1366721516 | Teresa Lyn Bitter | Speech-Language Pathologist | 7325 Summerview Manor Lane, St. Louis, MO 63129 | 2011-08-05 |
| Find all providers in zip 63129 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417114554 | Thomas C Ryzicka | Dentist | 2820 Lemay Ferry, St Louis, MO 63125 | 2008-05-16 |
| 1760502033 | Valerie Paris O Bannon | Dentist | 665 S Skinker, St Louis, MO 63105-2300 | 2007-03-30 |
| 1588782742 | Richard W Danyluck | Dentist | 3940 S Broadway, St Louis, MO 63118-4626 | 2007-03-27 |
| 1366573859 | Gary Alan Padberg | Dentist | 8077 Watson Rd, Suite 150, St Louis, MO 63119-5323 | 2007-03-08 |
| 1265576904 | Gerda Monika Thalheimer | Dentist | 11627 Gravois Rd, St Louis, MO 63126 | 2007-02-16 |
| 1366588501 | Ervin Simmons Iv | Dentist | 12528 Lusher Rd, St Louis, MO 63138 | 2007-01-29 |
| 1659417582 | Brett Irvin | Dentist | 1511 East Broadway, St Louis, IL 62201 | 2007-01-29 |
| 1285783563 | Mary Heil Grimm | Dentist | 9785 Mackenzie, Suite 106, St Louis, MO 63123 | 2007-01-09 |
| 1992853527 | David T Cappetta | Dentist | 1034 So Brentwood Blvd, University Club Tower Bld, St Louis, MO 63117 | 2007-01-08 |
| 1659436673 | Ronald King Greif | Dentist | 4442 Telegraph Rd, St Louis, MO 63129-3316 | 2006-12-27 |
| Find all providers in ST LOUIS | ||||
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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.