Individual provider Active NPI

Ernest Eugene Curry, DDS

  • General Practice Dentistry
  • Willard, MO
National Provider Identifier
1164510558
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
014142 Issued in MO
Practice address
304 E Jackson St
Willard, MO 65781-9333
Phone
(417) 742-2555
Fax
(417) 742-4400
NPI assigned
Oct 11, 2006
Last updated
Sep 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 014142 MO Primary

Addresses

Primary practice location

304 E Jackson St
Willard, MO 65781-9333

Mailing address

304 E Jackson St
Willard, MO 65781-9333
Phone (417) 742-2555

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170608002142 MO Order and Referring Only - DentistPractitioner - Dentist 8123339199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1164510558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E JACKSON ST",
            "city": "WILLARD",
            "state": "MO",
            "postal_code": "657819333",
            "telephone_number": "417-742-2555",
            "fax_number": "417-742-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E JACKSON ST",
            "city": "WILLARD",
            "state": "MO",
            "postal_code": "657819333",
            "telephone_number": "417-742-2555",
            "fax_number": "417-742-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURRY",
        "first_name": "ERNEST",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "014142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willard, MO

Sources for this page

Verify at the official NPI Registry.