NPIMap

Organization Active NPI

Nail Dental LLC

  • Dentist
  • Springfield, MO
National Provider Identifier
1306182704
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2007014543 Issued in MO
Legal business name
NAIL DENTAL LLC
Practice address
1200 E Woodhurst Dr Ste M400
Springfield, MO 65804-3777
Phone
(417) 881-1212
Fax
(417) 881-7867
NPI assigned
Dec 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Authorized official

Name
Dr. James Gary Nail, D.D.S.NPI 1992707301
Title
Sole Member/Owner
Phone
(417) 881-1212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 012092 MO
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 2007014543 MO Primary

Addresses

Primary practice location

1200 E Woodhurst Dr Ste M400
Springfield, MO 65804-3777

Mailing address

1200 E Woodhurst Dr Ste M400
Springfield, MO 65804-3777
Phone (417) 881-1212

National Provider Directory

National Provider Directory

Locations

1200 E Woodhurst Dr
Ste M400
Springfield, MO 65804
Phone (417) 881-1212

Practitioners & affiliated clinicians

Practitioners 2

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": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1306182704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E WOODHURST DR STE M400",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043777",
            "telephone_number": "417-881-1212",
            "fax_number": "417-881-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E WOODHURST DR STE M400",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043777",
            "telephone_number": "417-881-1212",
            "fax_number": "417-881-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAIL DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "NAIL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "417-881-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "012092",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "2007014543",
            "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 Dec 13, 2012; 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.