IndividualActive
Charles Niesen, DMD
NPI 1215098124 · General Practice Dentistry · Saint Louis, MO
Charles Niesen, DMD is a General Practice Dentistry provider in Saint Louis, MO (NPI 1215098124).
Provider details
- NPI number
- 1215098124
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 012230 (MO)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2440 S Brentwood Blvd
Saint Louis, MO 63144-2321
Phone: (314) 962-6643
Fax: (314) 962-2205
Street-level locationGet directions
Mailing address
2440 S Brentwood Blvd
Saint Louis, MO 63144-2321
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2007-07-08
Frequently asked questions
- What is Charles Niesen's NPI number?
- Charles Niesen's National Provider Identifier (NPI) is 1215098124, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Niesen's specialty?
- Charles Niesen is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Charles Niesen located?
- Charles Niesen's practice location on file with NPPES is 2440 S Brentwood Blvd, Saint Louis, MO 63144-2321.
- What is Charles Niesen's phone number?
- The practice phone number listed in the NPPES registry for Charles Niesen is (314) 962-6643.
- Is Charles Niesen's NPI active?
- Yes — Charles Niesen's NPI (1215098124) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.