Buford K Casebalt, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

013834 Issued in MO

Practice address

286 Chestnut
Osceola, MO 64776

Phone

(417) 646-2514

Fax

(417) 646-8892

NPI assigned

Nov 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073689964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "address_2": "286 CHESTNUT",
            "city": "OSCEOLA",
            "state": "MO",
            "postal_code": "64776",
            "telephone_number": "417-646-2514",
            "fax_number": "417-646-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 CHESTNUT",
            "city": "OSCEOLA",
            "state": "MO",
            "postal_code": "64776",
            "telephone_number": "417-646-2514",
            "fax_number": "417-646-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEBALT",
        "first_name": "BUFORD",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "013834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Access Dental & Dentures LLC
• Sierra Cameron
• Citizens Memorial Health Care Foundation (CMH Osceola Community Pharmacy)
• Citizens Memorial Healthcare (CMH Osceola Medical Center)
• Compass Health
• Compass Health, Inc (Compass Health Wellness)
• Compass Health, Inc. (Pathways Community Behavioral Healthcare)

• General Practice Dentistry in Osceola, MO
• Providers in Osceola, 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 8, 2007; 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.