Active NPI
Michael S. Todd D.M.D., LLC
- General Practice Dentistry
- Columbia, MO
National Provider Identifier
1053568865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 015815
- Legal business name
- MICHAEL S. TODD D.M.D., LLC
- Practice address
- 1500 Vandiver Dr
Suite 104
Columbia, MO 65202-3932 - Phone
- (573) 814-1694
- Fax
- (573) 814-2845
- NPI assigned
- Aug 22, 2008
- Last updated
- Aug 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Kerri L Smith
- Title
- Office Manager
- Phone
- (573) 814-1694
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 015815 | MO | Primary |
Addresses
Primary practice location
1500 Vandiver Dr
Suite 104
Columbia, MO 65202-3932
Mailing address
1500 Vandiver Dr
Suite 104
Columbia, MO 65202-3932
Phone (573) 814-1694
National Provider Directory
National Provider DirectoryLocations
1500 Vandiver Dr
Ste 104
Columbia, MO 65202
Phone (573) 814-1694
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Columbia, MO
- NPI 1770588972
-
- General Practice Dentistry
- Columbia, MO
- NPI 1437151750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219363200000",
"number": "1053568865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 VANDIVER DR",
"address_2": "SUITE 104",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652023932",
"telephone_number": "573-814-1694",
"fax_number": "573-814-2845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 VANDIVER DR",
"address_2": "SUITE 104",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652023932",
"telephone_number": "573-814-1694",
"fax_number": "573-814-2845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL S. TODD D.M.D., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-22",
"last_updated": "2008-08-22",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "KERRI",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "573-814-1694",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "015815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
- Theresa Lynn Meyer
- Thomas Wesley Meyer, DO
- Lewis Aaron Meyerson, M.D.
- Michael L Burks, M.D., P.C. (Central Missouri Physicians for Women)
- Michael L. Minten DDS
- Jill Elizabeth Michaelson, C.R.N.A.
- Mid Missouri Neurosurgery, LLP
- Mid Missouri Pain Management LLC (Noble Pain Management)
- Mid Missouri Surgery Center, LLC (Surgery Center at The Forum)
- Mid-America Anesthesia Consultants, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.