NPIMap

Organization Active NPI

Robert W Renger DDS

  • Dentist
  • Joplin, MO
National Provider Identifier
1073850061
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2002011660 Issued in MO
Legal business name
ROBERT W RENGER DDS
Practice address
510 W 32ND St
Joplin, MO 64804-2531
Phone
(417) 781-6700
Fax
(417) 781-6703
NPI assigned
Jan 10, 2013
Last updated
Mar 31, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Authorized official

Name
Dr. Robert W Renger, DDSNPI 1760457667
Title
Doctor
Phone
(417) 781-6700

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
Dentist 122300000X 2002011660 MO Primary

Addresses

Primary practice location

510 W 32ND St
Joplin, MO 64804-2531

Mailing address

510 W 32ND St
Joplin, MO 64804-2531
Phone (417) 781-6700

National Provider Directory

National Provider Directory

Locations

510 W 32nd St
Joplin, MO 64804
Phone (417) 781-6700

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": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1073850061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042531",
            "telephone_number": "417-781-6700",
            "fax_number": "417-781-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042531",
            "telephone_number": "417-781-6700",
            "fax_number": "417-781-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W RENGER DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-10",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "RENGER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "417-781-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2002011660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.