Jennifer Robyn Hays, DMD, PEDIATRIC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2020021108 Issued in MO

Practice address

1600 N Missouri Ave
Marceline, MO 64658-1012

Phone

(844) 853-8937

Fax

(660) 376-3454

NPI assigned

Jun 16, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jennifer Robyn Rosseau Former name

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Compass Health, Inc

  • Community/Behavioral Health Agency
  • Clinton, MO
  • NPI 1285619494
  Medicare reassignment NPD
• Compass Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Rolla, MO
  • NPI 1558258632
  NPD

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1124349832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358804",
            "telephone_number": "660-885-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N MISSOURI AVE",
            "city": "MARCELINE",
            "state": "MO",
            "postal_code": "646581012",
            "telephone_number": "844-853-8937",
            "fax_number": "660-376-3454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 N Keene St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652018052",
            "country_code": "US",
            "telephone_number": "844-853-8937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2475 Broadway Bluffs Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652018148",
            "country_code": "US",
            "telephone_number": "448-538-9378",
            "fax_number": "573-777-9569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 N Providence Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652034365",
            "country_code": "US",
            "telephone_number": "844-853-8937",
            "fax_number": "573-442-5208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "307 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MO",
            "postal_code": "652811037",
            "country_code": "US",
            "telephone_number": "844-853-8937",
            "fax_number": "660-388-6935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 W Worley St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652032037",
            "country_code": "US",
            "telephone_number": "844-853-8937",
            "fax_number": "573-607-2885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYS",
        "first_name": "JENNIFER",
        "middle_name": "ROBYN",
        "credential": "DMD, PEDIATRIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MO",
            "license": "2021014673",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2020021108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400086730",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ROSSEAU",
            "middle_name": "ROBYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dawn Brammer, COTA/L
• Bristol Care, Inc.
• Compass Health, Inc.
• Compass Health, Inc.
• Amanda Engelhard, D.C.
• Amy Michelle Jackson, MSW, LCSW, ACSW
• Cindy Kay Kolkmeyer, PHARM D
• Amanda Molloy, RDH
• Brenda L Niemeier
• Betty Anne Noll, M.D.

• General Practice Dentistry in Marceline, MO
• Providers in Marceline, 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 Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.