JASMINE ESMAILZADEGAN DMD
NPI 1013579010
Dentist - General Practice in Saint Louis, MO

Active since July 01, 2019PECOS Enrolled
200 S KIRKWOOD RD STE 90, SAINT LOUIS, MO 63122(314) 858-1175 Get Directions Write a Review

NPPES record last updated: October 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2019, Jul 1, 2019 (2 updates tracked since 2019).

About Jasmine Esmailzadegan Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASMINE ESMAILZADEGAN DMD (NPI 1013579010) is an individual general practice provider in Saint Louis, Missouri, licensed in Missouri (2019022466) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013579010
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJASMINE ESMAILZADEGANCredential: DMD
Location Address200 S KIRKWOOD RD STE 90Saint Louis, MO 63122-4351
Mailing Address200 S Kirkwood Rd Ste 90Saint Louis, MO 63122-4351 · (314) 858-1175
Sole ProprietorYes
Enumeration DateJuly 1, 2019
Last NPPES UpdateOctober 4, 20192 updates tracked since enumeration
NPI 1013579010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MO · 2019022466
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
200 S KIRKWOOD RD STE 90, Saint Louis, MO 63122

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jasmine Esmailzadegan Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
200 S KIRKWOOD RD STE 90
KIRKWOOD, MO 63122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jasmine Esmailzadegan's NPI number?

The NPI number for Jasmine Esmailzadegan is 1013579010. It was assigned to this individual provider in the NPPES registry on July 1, 2019.

Where is Jasmine Esmailzadegan located?

Jasmine Esmailzadegan practices at 200 S Kirkwood Rd Ste 90, Saint Louis, MO 63122. The listed phone number is (314) 858-1175.

What is Jasmine Esmailzadegan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jasmine Esmailzadegan enrolled in Medicare?

Yes. Jasmine Esmailzadegan is registered in the Medicare PECOS enrollment system.

What insurance does Jasmine Esmailzadegan accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 7 other insurers list Jasmine Esmailzadegan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jasmine Esmailzadegan was last updated on October 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.