Ads Bolivar LP

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ADS BOLIVAR LP

Practice address

4746 S 131St Rd
Bolivar, MO 65613-2886

Phone

(417) 501-1082

NPI assigned

Feb 21, 2025

Organization subpart

No

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

Authorized official

Name

Kari Hicks

Title

Managing Director

Phone

(417) 501-1082

Specialties & licenses 1

Addresses

Other names 1

• Access Dental, Dentures & Implants Doing business as

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1144026014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2933",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658012933",
            "telephone_number": "417-501-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4746 S 131ST RD",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656132886",
            "telephone_number": "417-501-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADS BOLIVAR LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "417-501-1082"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access Dental, Dentures & Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Bolivar, MO
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.