Active NPI
Garret Hucal, DDS
- Dentist
- Springfield, MO
National Provider Identifier
1083451017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2024027141
- Practice address
- 3259 E Sunshine St Ste K
Springfield, MO 65804-2143 - Phone
- (417) 222-7382
- Fax
- (417) 222-8589
- NPI assigned
- Jul 9, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2024027141 | MO | Primary |
Addresses
Primary practice location
3259 E Sunshine St Ste K
Springfield, MO 65804-2143
Mailing address
3259 E Sunshine St Ste K
Springfield, MO 65804-2143
Phone (417) 222-7382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024027141 | MO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1083451017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3259 E SUNSHINE ST STE K",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042143",
"telephone_number": "417-222-7382",
"fax_number": "417-222-8589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3259 E SUNSHINE ST STE K",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042143",
"telephone_number": "417-222-7382",
"fax_number": "417-222-8589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUCAL",
"first_name": "GARRET",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-09",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2024027141",
"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 Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.