| NPI | 1215955943 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-07-18 |
| Last Updated | 2018-01-24 |
| Mailing Address | 660 S Euclid Ave, C B 8131 Saint Louis, MO 63110-1010 United States Phone: (314) 362-7200 | Fax: (314) 747-4189 📍 View Map |
| Primary Practice Address | 510 S Kingshighway Blvd Saint Louis, MO 63110-1016 United States Phone: (314) 362-7111 | Fax: (314) 747-4189 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MO | 209724400 | - |
| MEDICAID | IL | Enrolled | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 2085N0700X – | MO | R6P18 |
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About NPI 1215955943
Dewitte T Cross MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1215955943. The provider is located in Saint Louis, MO. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1215955943?
NPI 1215955943 belongs to Dewitte T Cross MD in Saint Louis, MO. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1215955943 active?
The current status of NPI 1215955943 in the NPPES registry is Active. The record was last updated on 2018-01-24.
What specialty is NPI 1215955943?
The taxonomy for NPI 1215955943 can be viewed in the Taxonomy section above. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1215955943?
You can verify NPI 1215955943 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1215955943?
The primary practice address on file for NPI 1215955943 is 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1215955943 issued?
NPI 1215955943 was first issued (enumerated) on 2006-07-18. The NPPES record was last updated on 2018-01-24.
Practice Location Map
Dewitte T Cross is located at 510 S Kingshighway Blvd, Saint Louis, MO. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Dewitte T Cross. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1215955943. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| 2085N0700X | R6P18 | MO |