Organization Active NPI

Crighton Olive Dunn Surgical Group Inc

  • Surgery Physician
  • Springfield, MO
National Provider Identifier
1063510386
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CRIGHTON OLIVE DUNN SURGICAL GROUP INC
Practice address
1230 E Kingsley St
Suite C
Springfield, MO 65804-7211
Phone
(417) 882-2349
Fax
(417) 882-1083
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles W Dunn, MD
Title
President
Phone
(417) 882-2349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1230 E Kingsley St
Suite C
Springfield, MO 65804-7211

Mailing address

1230 E Kingsley St
Suite C
Springfield, MO 65804-7211
Phone (417) 882-2349

National Provider Directory

National Provider Directory

Locations

1230 E Kingsley St
Ste C
Springfield, MO 65804
Phone (417) 512-8788

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063510386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 E KINGSLEY ST",
            "address_2": "SUITE C",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047211",
            "telephone_number": "417-882-2349",
            "fax_number": "417-882-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 E KINGSLEY ST",
            "address_2": "SUITE C",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047211",
            "telephone_number": "417-882-2349",
            "fax_number": "417-882-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRIGHTON OLIVE DUNN SURGICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-882-2349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "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 Aug 22, 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.