Active NPI
Dennis Sale, D.O.
- Family Medicine Physician
- Springfield, MO
National Provider Identifier
1033299987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2017038663
- Practice address
- 3045 S National Ave Ste 110
Springfield, MO 65804-4268 - Phone
- (417) 888-6790
- NPI assigned
- Oct 16, 2006
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0528427 | KS | |
| Family Medicine Physician | 207Q00000X | 2017038663 | MO | Primary |
Addresses
Primary practice location
3045 S National Ave Ste 110
Springfield, MO 65804-4268
Mailing address
3045 S National Ave Ste 110
Springfield, MO 65804-4268
Phone (417) 888-6790
Other practice location 1
1 Riverfront Plz Ste 100
Lawrence, KS 66044-2294
Phone (785) 841-7297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0528427 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jayhawk Healthcare LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1033299987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3045 S NATIONAL AVE STE 110",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658044268",
"telephone_number": "417-888-6790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3045 S NATIONAL AVE STE 110",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658044268",
"telephone_number": "417-888-6790"
}
],
"practiceLocations": [
{
"address_1": "1 Riverfront Plz Ste 100",
"address_purpose": "LOCATION",
"city": "Lawrence",
"state": "KS",
"postal_code": "660442294",
"country_code": "US",
"telephone_number": "785-841-7297",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALE",
"first_name": "DENNIS",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "0528427",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2017038663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.