NPIMap

Organization Active NPI

Richard D. Tallon, DDS, PC

Doing business as Branson Dental Center

  • General Practice Dentistry
  • Branson, MO
National Provider Identifier
1154511004
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13372 Issued in MO
Legal business name
RICHARD D. TALLON, DDS, PC
Doing business as
Branson Dental Center
Practice address
515 Bee Creek Rd
Branson, MO 65616-7734
Phone
(417) 336-8478
Fax
(417) 336-2246
NPI assigned
Jul 26, 2007
Last updated
Jul 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Authorized official

Name
Dr. Richard D Tallon, DDSNPI 1356314769
Title
President/Owner
Phone
(417) 336-8478

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 13372 MO Primary

Addresses

Primary practice location

515 Bee Creek Rd
Branson, MO 65616-7734

Mailing address

515 Bee Creek Rd
Branson, MO 65616-7734
Phone (417) 336-8478

Other names 1

  • Branson Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

515 Bee Creek Rd
Branson, MO 65616
Phone (417) 336-4112

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1154511004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 BEE CREEK RD",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167734",
            "telephone_number": "417-336-8478",
            "fax_number": "417-336-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 BEE CREEK RD",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167734",
            "telephone_number": "417-336-8478",
            "fax_number": "417-336-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD D. TALLON, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "TALLON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "417-336-8478",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "13372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Branson Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Branson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.