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FENTON FAMILY PRACTICE, LLC
NPI 1356493811
Specialist in Fenton, MO

Active since January 17, 2007
1747 SMIZER STATION RD, SUITE 5, FENTON, MO 63026(636) 529-7000(636) 529-7003 Get Directions Write a Review

NPPES record last updated: September 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fenton Family Practice, Llc NPPES

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

FENTON FAMILY PRACTICE, LLC (NPI 1356493811) is a healthcare organization registered as a specialist in Fenton, Missouri and active in the NPI registry since January 2007. The organization lists Brenda Lynn Buckley, Doctor, as its authorized official.

NPPES Registry Identity

NPI1356493811
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFENTON FAMILY PRACTICE, LLC
Location Address1747 SMIZER STATION RD, SUITE 5Fenton, MO 63026-2784
Mailing Address1747 Smizer Station Rd, Suite 5Fenton, MO 63026-2784 · (636) 529-7000 · Fax (636) 529-7003
Phone(636) 529-7000
Fax(636) 529-7003
Organization SubpartNo
Authorized OfficialBrenda Lynn BuckleyDoctor · (636) 529-7000
Enumeration DateJanuary 17, 2007
Last NPPES UpdateSeptember 19, 2013
✔ NPI 1356493811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MO · 115447
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1747 SMIZER STATION RD, Fenton, MO 63026
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Other Identifiers 3

Medicare ID-Type Unspecified000095305MO
Medicaid205692908MO
Medicare UPINH48978MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

ROCKWOOD FAMILY MEDICINE LLC
Family Medicine
1747 SMIZER STATION RD, SUITE 3B
FENTON, MO 63026
St. Louis County (636) 529-9595
METRO FOOT SPECIALISTS, LLC
Durable Medical Equipment & Medical Supplies
1747 SMIZER STATION RD, SUITE 3A
FENTON, MO 63026
St. Louis County (636) 938-5006
DR. LORENELLE LOFQUIST D.C.
Chiropractor
1747 SMIZER STATION RD, STE 4
FENTON, MO 63026
St. Louis County (636) 825-6555
HCR HEALTH LLC
Internal Medicine
1747 SMIZER STATION RD
FENTON, MO 63026
St. Louis County (636) 230-6044
CHIROPRACTIC WELLNESS CENTER
Chiropractor
1747 SMIZER STATION RD
FENTON, MO 63026
St. Louis County (636) 825-6555
CHIROPRACTIC WELLNESS CENTER OF ST LOUIS LLC
Clinic/Center (Health Service)
1747 SMIZER STATION RD, STE. 4
FENTON, MO 63026
St. Louis County (636) 825-6555
SAINT LOUIS UNIVERSITY DBA MARK HERBERS, M.D.
Pediatrics
1747 SMIZER STATION RD, SUITE 6
FENTON, MO 63026
St. Louis County (636) 225-7908
SSM MEDICAL GROUP
Clinic/Center (Multi-Specialty)
1747 SMIZER STATION RD, SUITE 6
FENTON, MO 63026
St. Louis County (636) 225-7908

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 Fenton Family Practice, LLC's NPI number?

The NPI number for Fenton Family Practice, LLC is 1356493811. It was assigned to this organization in the NPPES registry on January 17, 2007.

Where is Fenton Family Practice, LLC located?

Fenton Family Practice, LLC is located at 1747 Smizer Station Rd Suite 5, Fenton, MO 63026. The listed phone number is (636) 529-7000.

What is Fenton Family Practice, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Fenton Family Practice, LLC was last updated on September 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.