Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Primary Care De Soto, LLC

Organization Primary Care Clinic/Center · NPI 1497392732

Primary Care De Soto, LLC is a Primary Care Clinic/Center in De Soto, Missouri. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

420 N Main St
De Soto, MO 63020-1538
Phone: (314) 398-1533
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1497392732
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Maxvill — Partner · (314) 398-1533
NPI enumeratedDecember 5, 2019
Last updated in NPPESDecember 5, 2019
Mailing address420 N Main St, De Soto, MO 63020-1538