GREATER ST LOUIS ORAL & MAXILLOFACIAL SURGERY PC
NPI 1518158989
Dentist - Oral and Maxillofacial Surgery in Saint Louis, MO

Q: What is Greater St Louis Oral & Maxillofacial Surgery PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since August 09, 2007

1034 S BRENTWOOD BLVD, SUITE 1010, SAINT LOUIS, MO 63117(314) 721-1010(314) 721-5276 Get Directions Write a Review

NPPES record last updated: February 12, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 12, 2020, Jan 28, 2020, Dec 10, 2019 (3 updates tracked since 2019).

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About Greater St Louis Oral & Maxillofacial Surgery Pc NPPES

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

GREATER ST LOUIS ORAL & MAXILLOFACIAL SURGERY PC (NPI 1518158989), doing business as Monterubio And Herbosa Oral And Maxillofacial Surgery, is a healthcare organization registered as an oral and maxillofacial surgery in Saint Louis, Missouri and active in the NPI registry since August 2007. The organization lists John R Monterubio, President, as its authorized official.

NPPES Registry Identity

NPI1518158989

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameGREATER ST LOUIS ORAL & MAXILLOFACIAL SURGERY PC

Location Address1034 S BRENTWOOD BLVD, SUITE 1010Saint Louis, MO 63117-1223

Mailing Address1034 S Brentwood Blvd, Suite 1010Saint Louis, MO 63117-1223 · (314) 721-1010 · Fax (314) 721-5276

Phone(314) 721-1010

Fax(314) 721-5276

Organization SubpartNo

Authorized OfficialJohn R MonterubioPresident · (314) 721-1010

Enumeration DateAugust 9, 2007

Last NPPES UpdateFebruary 12, 20203 updates tracked since enumeration

✔ NPI 1518158989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

1034 S BRENTWOOD BLVD, Saint Louis, MO 63117

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Other Names 1

Former Legal Business NameMonterubio And Herbosa Oral And Maxillofacial Surgery

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

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Greater St Louis Oral & Maxillofacial Surgery Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Greater St Louis Oral & Maxillofacial Surgery PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

John Monterubio, DDS

Oral Surgery

NPI 1225147853

1034 S BRENTWOOD SUITE 1010
St Louis, MO 63117

(314) 721-1010

✔ PECOS✔ Accepts MedicareSame address

Nicholas Branham, DMD

Maxillofacial Surgery

NPI 1972137479

1 BARNES JEWISH HOSPITAL PLZ STE 230
Saint Louis, MO 63110

(314) 361-6006

✔ PECOS✔ Accepts Medicare4.2 mi

Zachariah Cole, DMD, MD

Maxillofacial Surgery

NPI 1639605413

1 BARNES JEWISH HOSPITAL PLAZA SUITE 203
St Louis, MO 63110

(314) 361-6006

✔ PECOS✔ Accepts Medicare4.2 mi

Eugenio Herbosa, DMD MMSC

Maxillofacial Surgery

NPI 1063593838

12818 TESSON FERRY ROAD SUITE 204
St Louis, MO 63128

(314) 842-0020

✔ PECOS✔ Accepts Medicare9.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Greater St Louis Oral & Maxillofacial Surgery PC's NPI number?

The NPI number for Greater St Louis Oral & Maxillofacial Surgery PC is 1518158989. It was assigned to this organization in the NPPES registry on August 9, 2007. The provider was formerly known as Monterubio And Herbosa Oral And Maxillofacial Surgery.

Where is Greater St Louis Oral & Maxillofacial Surgery PC located?

Greater St Louis Oral & Maxillofacial Surgery PC is located at 1034 S Brentwood Blvd Suite 1010, Saint Louis, MO 63117. The listed phone number is (314) 721-1010.

What is Greater St Louis Oral & Maxillofacial Surgery PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Greater St Louis Oral & Maxillofacial Surgery PC enrolled in Medicare?

Yes. Greater St Louis Oral & Maxillofacial Surgery PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Greater St Louis Oral & Maxillofacial Surgery PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Greater St Louis Oral & Maxillofacial Surgery PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Maxillofacial Surgery (3) and Oral Surgery (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Greater St Louis Oral & Maxillofacial Surgery PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Greater St Louis Oral & Maxillofacial Surgery PC 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 Greater St Louis Oral & Maxillofacial Surgery PC was last updated on February 12, 2020. 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.