Robert T. Dewar, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11306 Issued in MO

Practice address

1704 N Robberson Ave
Springfield, MO 65803-2845

Phone

(417) 869-6055

Fax

(417) 869-2469

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Robert T. Dewar, DDS., PC

  • Preferred Provider Organization
  • Springfield, MO
  • NPI 1487007845
  NPD (past) Authorized official

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1043369689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 N ROBBERSON AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658032845",
            "telephone_number": "417-869-6055",
            "fax_number": "417-869-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 N ROBBERSON AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658032845",
            "telephone_number": "417-869-6055",
            "fax_number": "417-869-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWAR",
        "first_name": "ROBERT",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "11306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11306",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Developmental Center of the Ozarks
• Developmental Center of the Ozarks
• Jean M Devenny, PSYD, LP
• Mark Devoss, M.D.
• Donna Devries, SLP,CCC
• Corbin Jon Dewick
• Tyler Dewick, PA-C
• Deanna M Dewitt, MSW, LCSW
• Patricia M Dewitt, LCSW
• Allan G. Dewoody, LPC

• General Practice Dentistry in Springfield, MO
• Providers in Springfield, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.