ANDREW MARTENS (NPI# 1275082174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275082174 |
| Entity Type | Individual |
| Full Name | ANDREW MARTENS |
| Credential | DMD |
| Practice Address |
3320 Rutger St Saint Louis MO 63104-1122 |
| Practice Telephone | 3095072877 |
| Mailing Telephone | 3095072877 |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
019.030656 | IL | Dental Providers |
| Street Address |
3320 RUTGER ST |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63104-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053467746 | St. Louis University | Clinic/Center | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2007-01-26 |
| 1700400868 | Strater R Crowfoot | Student in an Organized Health Care Education/Training Program | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2020-06-04 |
| 1396369757 | Jamie Carolina Terrill | Student in an Organized Health Care Education/Training Program | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2020-06-02 |
| 1912528548 | Parth Mangrola | Dentist | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2020-05-05 |
| 1437778651 | Edward Hoon Lee | Dentist | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2020-04-09 |
| 1174184220 | Soo Hye Cho | Student in an Organized Health Care Education/Training Program | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2019-06-27 |
| 1487213435 | Sarah Corine Crepps | Dentist | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2019-06-12 |
| 1699332957 | Meagan Inclan | Dentist | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2019-05-22 |
| 1841701497 | Theodore Young Tutwiler | Student in an Organized Health Care Education/Training Program | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2017-10-21 |
| 1295267185 | Patrick Stamos | Dentist | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2017-03-30 |
| Find all providers in the same location | ||||
| 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 | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366993719 | Bryan Allgeier | Dentist | 3941 Bowen St, Saint Louis, MO 63116 | 2016-10-20 |
| 1184816431 | Pearline, Dds & Roach, Dmd, PC | Dentist | 777 S New Ballas Rd Ste 201w, Saint Louis, MO 63141-8717 | 2007-08-10 |
| 1154481265 | Fariba Tahmasebi-moshiri | Dentist | 777 S New Ballas Rd Ste 305w, Saint Louis, MO 63141-8719 | 2006-12-11 |
| 1134290323 | Charles William Clarke | Dentist | 4121 Union Rd, Ste 215, Saint Louis, MO 63129-1070 | 2006-11-11 |
| 1952471351 | Southwest Endodontics | Dentist | 10777 Sunset Office Dr Ste 100, Saint Louis, MO 63127-1019 | 2006-11-09 |
| 1205844461 | Daniel A. Dunbar, D.m.d., M.s., P.C. | Dentist | 9225 Manchester Rd Ste 201, Saint Louis, MO 63144-2640 | 2006-08-04 |
| 1598262263 | Michael J Smoljan | Dentist | 777 S New Ballas Rd Ste 201w, Saint Louis, MO 63141-8717 | 2018-04-10 |
| 1003211137 | Timothy Maher | Dentist | 10777 Sunset Office Dr Ste 100, Saint Louis, MO 63127-1019 | 2014-10-31 |
| 1346598661 | Byron Duvall Dds LLC | Dentist | 2600 Chouteau Ave, Saint Louis, MO 63103-3013 | 2012-08-16 |
| 1578723292 | Daniel Allan Dunbar | Dentist | 9225 Manchester Rd, Ste. 201, Saint Louis, MO 63144-2640 | 2008-06-16 |
| Find all providers in SAINT LOUIS | ||||
| 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.