1. Home
  2. Directory
  3. Missouri
  4. De Soto
  5. Clinic Center
  6. NPI Profile

PRIMARY CARE DE SOTO, LLC
NPI 1497392732
Clinic/Center - Primary Care in De Soto, MO

Active since December 05, 2019
420 N MAIN ST, DE SOTO, MO 63020(314) 398-1533 Get Directions Write a Review

NPPES record last updated: December 5, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Primary Care De Soto, Llc NPPES

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

PRIMARY CARE DE SOTO, LLC (NPI 1497392732) is a healthcare organization registered as a primary care in De Soto, Missouri and active in the NPI registry since December 2019. The organization lists Timothy Maxvill, Partner, as its authorized official.

NPPES Registry Identity

NPI1497392732
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePRIMARY CARE DE SOTO, LLC
Location Address420 N MAIN STDe Soto, MO 63020-1538
Mailing Address420 N Main StDe Soto, MO 63020-1538
Phone(314) 398-1533
Organization SubpartNo
Authorized OfficialTimothy MaxvillPartner · (314) 398-1533
Enumeration DateDecember 5, 2019
✔ NPI 1497392732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
420 N MAIN ST, De Soto, MO 63020
Open in Google Maps ↗

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 Primary Care De Soto, LLC's NPI number?

The NPI number for Primary Care De Soto, LLC is 1497392732. It was assigned to this organization in the NPPES registry on December 5, 2019.

Where is Primary Care De Soto, LLC located?

Primary Care De Soto, LLC is located at 420 N Main St, De Soto, MO 63020. The listed phone number is (314) 398-1533.

What is Primary Care De Soto, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Primary Care De Soto, LLC was last updated on December 5, 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.