NPIMap

Organization Active NPI

Greater Springfield Endodontics

  • Dental Clinic/Center
  • Springfield, MO
National Provider Identifier
1306173612
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GREATER SPRINGFIELD ENDODONTICS
Practice address
2808 S Ingram Mill Rd
Building C108
Springfield, MO 65804-4079
Phone
(417) 883-7668
Fax
(417) 883-8525
NPI assigned
Nov 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Authorized official

Name
Dr. Mark Allen Massey, DDS.,MSD
Title
Endodontist
Phone
(417) 883-7668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2808 S Ingram Mill Rd
Building C108
Springfield, MO 65804-4079

Mailing address

2808 S Ingram Mill Rd
Building C108
Springfield, MO 65804-4079
Phone (417) 883-7668

National Provider Directory

National Provider Directory

Locations

2808 S Ingram Mill Rd
Bldg C108
Springfield, MO 65804
Phone (417) 883-7668

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1306173612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 S INGRAM MILL RD",
            "address_2": "BUILDING C108",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044079",
            "telephone_number": "417-883-7668",
            "fax_number": "417-883-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 S INGRAM MILL RD",
            "address_2": "BUILDING C108",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044079",
            "telephone_number": "417-883-7668",
            "fax_number": "417-883-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER SPRINGFIELD ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "417-883-7668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS.,MSD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.