Active NPI
David Leroy Tongate, DDS
- Dentist
- Sikeston, MO
National Provider Identifier
1255415055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 013530
- Practice address
- 215 Tanner St
Sikeston, MO 63801 - Phone
- (573) 471-2690
- Fax
- (573) 471-2708
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 013530 | MO | Primary |
Addresses
Primary practice location
215 Tanner St
Sikeston, MO 63801
Mailing address
PO Box 104
Sikeston, MO 63801-0104
Phone (573) 471-2690
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160208000171 | MO | Order and Referring Only - Dentist | 2567766868 |
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": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255415055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 104",
"city": "SIKESTON",
"state": "MO",
"postal_code": "638010104",
"telephone_number": "573-471-2690",
"fax_number": "573-471-2708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 TANNER ST",
"city": "SIKESTON",
"state": "MO",
"postal_code": "63801",
"telephone_number": "573-471-2690",
"fax_number": "573-471-2708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONGATE",
"first_name": "DAVID",
"middle_name": "LEROY",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "013530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sikeston, MO
- Molly Rebecca Thompson, NCC, LPC
- Paula Mischelle Tibbs, CCC-SLP
- Misty Tilmon, M.A. CCC-SLP
- Leslie Ann Timlin, M.S., CCC-SLP
- Alexandra Tomaszewski, LCSW
- Tammy Renea Toon
- Emily N Toothman, OTR/L
- Total Renal Care Inc (Sikeston Jaycee Regional Dialysis)
- Amber Dawn Towe, PMHNP
- Brittney Nicole Trankler, MA CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.