DANIEL THOMAS DOHERTY
NPI 1598258501
Dentist - General Practice in Saint Louis, MO

Q: What is Daniel Doherty's NPI number?

The NPI number for Daniel Doherty is 1598258501. It was assigned to this individual provider in the NPPES registry on June 13, 2018.

Q: What is Daniel Doherty's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Daniel Doherty was last updated on June 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 13, 2018PECOS Enrolled

621 S NEW BALLAS RD # 10, SAINT LOUIS, MO 63141(314) 251-5775(314) 251-5776 Get Directions Write a Review

NPPES record last updated: June 13, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Daniel Thomas Doherty NPPES

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

DANIEL THOMAS DOHERTY (NPI 1598258501) is an individual general practice provider in Saint Louis, Missouri, licensed in Missouri (2018019124) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598258501

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDANIEL THOMAS DOHERTY

Location Address621 S NEW BALLAS RD # 10Saint Louis, MO 63141-8232

Mailing Address621 S New Ballas Rd # 10Saint Louis, MO 63141-8232 · (314) 251-5775 · Fax (314) 251-5776

Phone(314) 251-5775

Fax(314) 251-5776

Sole ProprietorYes

Enumeration DateJune 13, 2018

✔ NPI 1598258501 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 · 2018019124

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.

621 S NEW BALLAS RD # 10, Saint Louis, MO 63141

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel Thomas Doherty 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 63141 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.

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 Daniel Doherty's NPI number?

The NPI number for Daniel Doherty is 1598258501. It was assigned to this individual provider in the NPPES registry on June 13, 2018.

Where is Daniel Doherty located?

Daniel Doherty practices at 621 S New Ballas Rd # 10, Saint Louis, MO 63141. The listed phone number is (314) 251-5775.

What is Daniel Doherty's specialty?

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

Is Daniel Doherty enrolled in Medicare?

Yes. Daniel Doherty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daniel Doherty was last updated on June 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.