DR. CYRUS M ALIZADEH (NPI# 1871595629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871595629 |
| Entity Type | Individual |
| Full Name | DR. CYRUS M ALIZADEH |
| Credential | DDS |
| Practice Address |
1302 Clarkson Clayton Ctr Suite 206 Ellisville MO 63011-2174 |
| Mailing Address |
17954 Saddle Horn Rd Wildwood MO 63038-1300 |
| Practice Telephone | 6363945455 |
| Practice Fax Number | 6363945163 |
| Mailing Telephone | 6364582437 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
14488 | MO | Dental Providers |
| Street Address |
1302 CLARKSON CLAYTON CTR SUITE 206 |
| City | ELLISVILLE |
| State | MO |
| Zip Code | 63011-2174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770823015 | Matthew P Vance | Pharmacist | 1302 Clarkson Clayton Ctr, Ellisville, MO 63011-2145 | 2013-02-24 |
| 1760767297 | Shannon Dierker | Pharmacist | 1302 Clarkson Clayton Ctr, Ellisville, MO 63011-2145 | 2011-10-16 |
| 1912912155 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1302 Clarkson Clayton Ctr, Ellisville, MO 63011-2145 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309234 | Heather Renee Leone | Nurse Practitioner | 452 Sovereign Court Suite A, Ballwin, MO 63011 | 2019-01-02 |
| 1538635297 | Jennifer Lea Nicole O'donnell | Registered Nurse | 13861 Manchester Road, Town and Country, MO 63011 | 2018-10-22 |
| 1285127712 | Genevieve Friedmann | Social Worker | 301 Sovereign Ct Ste 103, Ballwin, MO 63011 | 2018-06-09 |
| 1881187391 | Andrew Cittadino Link | Dentist | 14335 Manchester Road, Ballwin, MO 63011 | 2018-06-08 |
| 1972041283 | Anavan LLC | Durable Medical Equipment & Medical Supplies | 14390 Manchester Rd, Saint Louis, MO 63011 | 2017-02-07 |
| 1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
| 1265872964 | Eryn Nichole Miner | Behavioral Analyst | 15834 Clayton Road, Ellisville, MO 63011 | 2013-06-27 |
| 1194168765 | Donna Margaret Carrillo | Developmental Therapist | 15834 Clayton Rd., Ellisville, MO 63011 | 2013-04-12 |
| 1891047486 | Ashley Amanda Battaglia | Chiropractor | 15945 Clayton Rd Ste 230c, Ballwin, MO 63011 | 2012-10-08 |
| 1750658480 | Gary Frank Sobocinski | Pharmacist | 4033 Sovereign Court, Ballwin, MO 63011 | 2011-11-23 |
| Find all providers in zip 63011 | ||||
| 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 |
|---|---|---|---|---|
| 1306004098 | Charles Joseph Ries | Dentist | 333 Ozark Trail Dr, Suite 100, Ellisville, MO 63011-2185 | 2008-05-29 |
| 1154533834 | Lloyd B. Wolfe, Jr., D.m.d. | Dentist | 92 Hal Crocker Rd, Ellisville, MS 39437-2089 | 2007-05-04 |
| 1235356783 | E. Glenn Glassman, D.d.s. PC Dba Orthocare Systems | Dentist | 15925 Manchester Rd, Ellisville, MO 63011-2101 | 2007-04-19 |
| 1245498930 | Ries Orthodontics | Dentist | 333 Ozark Trail Dr, Suite 100, Ellisville, MO 63011-2185 | 2008-05-29 |
| 1437351608 | Michael S Cherre Dds | Dentist | 355 Ozark Trail Dr, Ste 3, Ellisville, MO 63011 | 2007-06-01 |
| 1669692760 | Michael Stephen Cherre Sr. | Dentist | 355 Ozark Trail Dr, Ste 3, Ellisville, MO 63011 | 2007-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878034 | Soh of Missouri Samson Liu PC | Dentist | 810 Ofallon Rd Ste 70, Weldon Spring, MO 63304-8107 | 2020-10-16 |
| 1952918054 | Candid Missouri, LLC | Dentist | 7431 Broadway, Kansas City, MO 64114-1529 | 2020-09-23 |
| 1659915098 | Cheif Smiles LLC | Dentist | 620 E. Us Highway 40, Blue Springs, MO 64014 | 2019-10-29 |
| 1780140459 | Evan W Brown Dds Inc | Dentist | 160 Four Seasons Shopping Ctr, Chesterfield, MO 63017-3104 | 2019-02-18 |
| 1376014852 | Catherine Loner | Dentist | 1470 S New Florissant Rd, Florissant, MO 63031-8198 | 2018-12-10 |
| 1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
| 1699281121 | St Louis South Orthodontics | Dentist | 9911 Kennerly Rd Ste H, Saint Louis, MO 63128-2700 | 2017-12-20 |
| 1023557766 | Uncommon Orthodontics By William A. Pickard, Dds, Ms, Pllc | Dentist | 2330 S Range Line Rd Ste E, Joplin, MO 64804-3267 | 2017-02-14 |
| 1023556743 | Mark Humphrey | Dentist | 8657 Old Bonhomme Rd, Saint Louis, MO 63132-3901 | 2017-02-01 |
| 1912458688 | Jerry F. Cash | Dentist | 2844 S Ingram Mill Rd, Springfield, MO 65804-4042 | 2016-10-18 |
| Find all providers with the same taxonomy | ||||
| City | ELLISVILLE |
| Zip Code | 63011 |
Please comment or provide details below to improve the information on DR. CYRUS M ALIZADEH.
| 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.