MS. ANGELA SPOLJARIC DMD
NPI 1235114489
Dentist in Saint Louis, MO

Q: What is Angela Spoljaric's NPI number?

The NPI number for Angela Spoljaric is 1235114489. It was assigned to this individual provider in the NPPES registry on December 9, 2005.

Q: What is Angela Spoljaric's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Angela Spoljaric was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since December 09, 2005PECOS Enrolled

401 HOLLY HILLS AVE, SAINT LOUIS, MO 63111(314) 353-5190(314) 353-7631 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 8, 2026, Mar 13, 2026, Jan 20, 2022 (3 updates tracked since 2022).

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About Ms. Angela Spoljaric Dmd NPPES

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

MS. ANGELA SPOLJARIC DMD (NPI 1235114489) is an individual dentist in Saint Louis, Missouri, licensed in Missouri (016021) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235114489

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameMS. ANGELA SPOLJARICCredential: DMD

Location Address401 HOLLY HILLS AVESaint Louis, MO 63111-2410

Mailing Address401 Holly Hills AveSaint Louis, MO 63111-2410 · (314) 353-5190 · Fax (314) 353-7631

Phone(314) 353-5190

Fax(314) 353-7631

Sole ProprietorNo

Enumeration DateDecember 9, 2005

Last NPPES UpdateApril 8, 20263 updates tracked since enumeration

NPPES CertifiedApril 8, 2026

✔ NPI 1235114489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MO · 016021

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

401 HOLLY HILLS AVE, Saint Louis, MO 63111

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Other Identifiers 1

Medicaid409143302MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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)

Ms. Angela Spoljaric 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 63111 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 20

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

DR. LEXI KATHLEEN WISCH PT, DPT

Physical Therapist