Giants SC Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GIANTS SC DENTAL

Practice address

3550 S Campbell Ave
Springfield, MO 65807-5183

Phone

(417) 887-4021

NPI assigned

Sep 26, 2024

Organization subpart

No

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

Authorized official

Name

Ryan Harris

Title

Owner

Phone

(702) 580-4285

Specialties & licenses 1

Addresses

Other names 1

• South City Dental Doing business as

Practitioners 2

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

• Brittney Ball, D.D.S.

  • Dentist
  • Springfield, MO
  • NPI 1821539628

  General Practice

  NPD
• W Scott Schmidly, D.D.S.

  • General Practice Dentistry
  • Springfield, MO
  • NPI 1336235175
  NPD (past)

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1245057504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 S CAMPBELL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 S CAMPBELL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075183",
            "telephone_number": "417-887-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIANTS SC DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-580-4285"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South City Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Get Mobile PT LLC
• Rodney K. Geter, MD
• Christina Ghan, MSW, LCSW
• Stacy Gholz, FNP-C
• Krishnendu Ghosh, M.D.
• Andria Marie Gibb, PA-C
• Paige Gibbens, DPT
• Juliette A. Gibbons, MD
• Jennifer Gibbs
• Melissa Giboney, ATC, CSCS

• General Practice Dentistry in Springfield, MO
• Providers in Springfield, 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 Sep 26, 2024; 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.