Shouman and Tegerdine Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHOUMAN AND TEGERDINE DENTISTRY LLC

Practice address

2216 Forum Blvd Ste 104
Columbia, MO 65203-5409

Phone

(573) 449-0096

Fax

(573) 449-0099

NPI assigned

Jun 16, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Ramsey O Shouman, DDSNPI 1245338987

Title

Member

Phone

(573) 449-0096

Specialties & licenses 1

Addresses

Practitioners 2

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

• Ramsey O Shouman, DDS

  • General Practice Dentistry
  • Columbia, MO
  • NPI 1245338987
  NPD Authorized official
• Colin Tegerdine, D.D.S

  • Dentist
  • Columbia, MO
  • NPI 1851749154
  NPD (past)

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1194455691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 FORUM BLVD STE 104",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035409",
            "telephone_number": "573-449-0096",
            "fax_number": "573-449-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 FORUM BLVD STE 104",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035409",
            "telephone_number": "573-449-0096",
            "fax_number": "573-449-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOUMAN AND TEGERDINE DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "SHOUMAN",
        "authorized_official_first_name": "RAMSEY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "573-449-0096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Tatum Shock
• Leslie Shock
• Michael S Shoemaker-Moyle, M.D.
• Jaaron Wade Short
• Rick Jay Short Jr., PSYD, LPC
• Ramsey O Shouman, DDS
• Seth Showalter, LCSW
• Beth Gia Shoyer, PH.D.
• Adekemi Shoyinka, PHARMD
• Drishti Shrestha

• General Practice Dentistry in Columbia, MO
• Providers in Columbia, 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 Jun 16, 2022; 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.