Amanda Katherine Cummings, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2023019106 Issued in MO

Practice address

304 W Washington Ave
Richland, MO 65556-7101

Phone

(573) 346-4446

NPI assigned

May 25, 2023

Last updated

May 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Dentist

Education

University of North Carolina School of Dentistry, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richland Medical Center, Inc.

  dba Central Ozark Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Osage Beach, MO
  • NPI 1891931978
  Medicare reassignment
• Richland Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Crocker, MO
  • NPI 1568321107
  NPD
• Richland Medical Center, Inc.

  dba Central Ozarks Medical Center

  • Federally Qualified Health Center (FQHC)
  • Camdenton, MO
  • NPI 1063985695
  NPD
• Richland Medical Center, Inc.

  dba Central Ozarks Medical Center

  • Federally Qualified Health Center (FQHC)
  • Camdenton, MO
  • NPI 1588163323
  NPD (past)

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1174215313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777",
            "city": "RICHLAND",
            "state": "MO",
            "postal_code": "655560777",
            "telephone_number": "573-765-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W WASHINGTON AVE",
            "city": "RICHLAND",
            "state": "MO",
            "postal_code": "655567101",
            "telephone_number": "573-346-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "AMANDA",
        "middle_name": "KATHERINE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2023019106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Kay Belen
• Blessed Assurance Counseling, LLC
• Ellen Brown
• John Caudell Carson, D.O.
• Earleen F Cashill
• Megan Davault, PTA
• Elizabeth C Ewers Teel, PH.D.
• Rachel Fenton
• Danielle Fowers, NP
• Robert Jaaron Fowers

• General Practice Dentistry in Richland, MO
• Providers in Richland, 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 May 25, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.