Organization Active NPI

Jonathan R Ehlers DDS PC

Doing business as Tiger Family Dental

  • General Practice Dentistry
  • Sedalia, MO
National Provider Identifier
1033759873
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JONATHAN R EHLERS DDS PC
Doing business as
Tiger Family Dental
Practice address
991 Winchester Dr Ste 1
Sedalia, MO 65301-2553
Phone
(660) 827-2405
Fax
(660) 951-1160
NPI assigned
Jan 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jonathan Ray Ehlers, DDSNPI 1114247046
Title
Dentist/Owner
Phone
(660) 827-2405

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

991 Winchester Dr Ste 1
Sedalia, MO 65301-2553

Mailing address

991 Winchester Dr Ste 1
Sedalia, MO 65301-2553
Phone (660) 827-2405

Other names 1

  • Tiger Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

991 Winchester Dr
Ste 1
Sedalia, MO 65301
Phone (660) 200-8054

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1033759873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 WINCHESTER DR STE 1",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012553",
            "telephone_number": "660-827-2405",
            "fax_number": "660-951-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 WINCHESTER DR STE 1",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012553",
            "telephone_number": "660-827-2405",
            "fax_number": "660-951-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN R EHLERS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "EHLERS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "660-827-2405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tiger Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sedalia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.