NPIMap

Organization Active NPI

Ascend Dental Design, LLC

  • Dental Clinic/Center
  • Springfield, MO
National Provider Identifier
1043691462
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ASCEND DENTAL DESIGN, LLC
Practice address
1200 E Woodhurst Dr
Building U
Springfield, MO 65804-4240
Phone
(417) 887-3100
Fax
(417) 887-3066
NPI assigned
Jun 11, 2015
Last updated
Jun 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Authorized official

Name
Dr. Jeffrey L Dorman, D.D.S.NPI 1275547986
Title
Member
Phone
(417) 887-3100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1200 E Woodhurst Dr
Building U
Springfield, MO 65804-4240

Mailing address

1200 E Woodhurst Dr
Building U
Springfield, MO 65804-4240
Phone (417) 887-3100

National Provider Directory

National Provider Directory

Locations

1200 E Woodhurst Dr
Bldg U
Springfield, MO 65804
Phone (417) 887-3100

Practitioners & affiliated clinicians

Practitioners 2

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": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1043691462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E WOODHURST DR",
            "address_2": "BUILDING U",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044240",
            "telephone_number": "417-887-3100",
            "fax_number": "417-887-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E WOODHURST DR",
            "address_2": "BUILDING U",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044240",
            "telephone_number": "417-887-3100",
            "fax_number": "417-887-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCEND DENTAL DESIGN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "DORMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "417-887-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 Jun 11, 2015; 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.