EDWARD J SHAHEEN JR. (NPI# 1306115647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306115647 |
| Entity Type | Individual |
| Full Name | EDWARD J SHAHEEN JR. |
| Credential | DDS |
| Practice Address |
10363 Clayton Rd Saint Louis MO 63131-2907 |
| Practice Telephone | 3149910697 |
| Practice Fax Number | 3149913436 |
| Mailing Telephone | 3149910697 |
| Mailing Fax Number | 3149913436 |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2011-12-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
012428 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700113396 | Edward Shaheen | Emergency Medicine | 524 Michael Debakey Drive, Emergency Department, Lake Charles, LA 70601-5725 | 2009-11-03 |
| Street Address |
10363 CLAYTON RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63131-2907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
| 1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| 1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
| 1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| Find all providers in zip 63131 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699281121 | St Louis South Orthodontics | Dentist | 9911 Kennerly Rd Ste H, Saint Louis, MO 63128-2700 | 2017-12-20 |
| 1023556743 | Mark Humphrey | Dentist | 8657 Old Bonhomme Rd, Saint Louis, MO 63132-3901 | 2017-02-01 |
| 1730434192 | Nefeli Vasilakou | Dentist | 3320 Rutger Street, Saint Louis, MO 63104 | 2012-07-20 |
| 1053538504 | E. Glenn Glassman, D.d.s. PC Dba Orthocare Systems | Dentist | 6925 S Lindbergh Blvd, Saint Louis, MO 63125-4220 | 2007-04-19 |
| 1417174954 | E. Glenn Glassman D.d.s. PC Dba Orthocare Systems | Dentist | 10413 W Florissant Ave, Saint Louis, MO 63136-2342 | 2007-04-19 |
| 1700909991 | Stephen Gerard Nikodem | Dentist | 4116 Von Talge Rd Ste A, Saint Louis, MO 63128-1957 | 2007-04-10 |
| 1295873214 | Heidi Marie Butts | Dentist | 8760 Big Bend Blvd, Saint Louis, MO 63119-3730 | 2007-02-02 |
| 1497838163 | Debra F Fink | Dentist | 13302 Manchester Rd, Saint Louis, MO 63131-1709 | 2006-10-24 |
| 1093810202 | Mazyar Moshiri | Dentist | 777 S. New Ballas Road, Suite 116e, Saint Louis, MO 63141 | 2006-09-13 |
| 1215046008 | Richard James Nissen | Dentist | 31 The Boulevard-st. Louis, Saint Louis, MO 63117 | 2006-08-29 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63131 |
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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.