Walter R. Pfitzinger D.D.S,, P.C.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

010435 Issued in MO

Legal business name

WALTER R. PFITZINGER D.D.S,, P.C.

Practice address

1500 Vandiver Dr
Suite 104
Columbia, MO 65202-3932

Phone

(573) 814-1694

Fax

(573) 814-2845

NPI assigned

Jul 25, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kerri L Smith

Title

Office Manager

Phone

(573) 814-1694

Specialties & licenses 1

Addresses

Other names 1

• Mid Missouri Dental Center Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Walter Robert Pfitzinger, D.D.S, M.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Columbia, MO
  • NPI 1770588972
  NPD (past)
• Michael Sean Todd, DMD

  • General Practice Dentistry
  • Columbia, MO
  • NPI 1437151750
  NPD (past)

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1164622395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 VANDIVER DR",
            "address_2": "SUITE 104",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652023932",
            "telephone_number": "573-814-1694",
            "fax_number": "573-814-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 VANDIVER DR",
            "address_2": "SUITE 104",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652023932",
            "telephone_number": "573-814-1694",
            "fax_number": "573-814-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER R. PFITZINGER D.D.S,, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "573-814-1694",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MO",
            "license": "010435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid Missouri Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Wallace, LPC
• Savannah Lyn Wallace, OTR/L
• Erika McGraw Waller, PH.D.
• Marcia J Walmer, RN, AP/MHNP
• Hailey Walsh, MS, LPC
• Amanda Gayle Walters, PHARMD
• Heather Michelle Walters, RN
• Nikesha Walters, DMD
• Walton CS XV Inc
• Nikehl J Walton

• Pediatric Dentistry in Columbia, MO
• Providers in Columbia, MO by specialty
• Pediatric Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.