John Samuel Poston Jr., D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2012015452 Issued in MO

Practice address

111 S Main St
Carrollton, MO 64633-1624

Phone

(660) 542-1117

NPI assigned

Jun 7, 2012

Last updated

Jun 7, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1275894099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S MAIN ST",
            "city": "CARROLLTON",
            "state": "MO",
            "postal_code": "646331624",
            "telephone_number": "660-542-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S MAIN ST",
            "city": "CARROLLTON",
            "state": "MO",
            "postal_code": "646331624",
            "telephone_number": "660-542-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSTON",
        "first_name": "JOHN",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2012015452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Lynn Newcomb, OD
• Courtney N Pitt, RN FNP
• Platz Enterprises Inc. (Hometown Pharmacy)
• Platz Enterprises Inc. (Hometown Pharmacy)
• Jennifer Rose Poston, O.D.
• Pamela Lynn Ralls, M.D.
• Jonna Hickcox Rechterman, APRN FNP
• Timothy Neil Reid, MD
• Abigail Ann Richards, PHARM D
• Charles Blake Riley, PHARM.D.

• Dentist in Carrollton, MO
• Providers in Carrollton, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.

Verify at the official NPI Registry.