Organization Active NPI

David Tager LLC

  • Community/Behavioral Health Agency
  • Columbia, MO
National Provider Identifier
1275951089
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DAVID TAGER LLC
Practice address
19 S 9TH St
Columbia, MO 65201-4813
Phone
(573) 268-5446
NPI assigned
Mar 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Authorized official

Name
David Tager
Title
PHD
Phone
(573) 268-5446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

19 S 9TH St
Columbia, MO 65201-4813

Mailing address

401 W Broadway
Columbia, MO 65203-3366

National Provider Directory

National Provider Directory

Locations

19 S 9th St
Columbia, MO 65201
Phone (573) 268-5446

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1275951089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W BROADWAY",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 S 9TH ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014813",
            "telephone_number": "573-268-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID TAGER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "TAGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHD",
        "authorized_official_telephone_number": "573-268-5446"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.