Active NPI
Misook An Rissler, D.D.S.
- Dentist
- Marshfield, MO
National Provider Identifier
1326415753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2015021497
- Practice address
- 14303 W. State Hwy 38
Marshfield, MO 65706 - Phone
- (417) 859-0711
- Fax
- (417) 859-0718
- NPI assigned
- Sep 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 2015021497 | MO | Primary |
Addresses
Primary practice location
14303 W. State Hwy 38
Marshfield, MO 65706
Mailing address
1722 S Glenstone Ave Ste O&P
Springfield, MO 65804-1513
Phone (417) 248-1234
Other names 1
- Misook NMN An
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015021497 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smile More, Smile Better, LLC | Current | Accepting new patients | |
| Richard Benjamin Alvarez DDS, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Springfield, MO
- NPI 1508409046
-
- Dental Clinic/Center
- Marshfield, MO
- NPI 1679066690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1326415753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1722 S GLENSTONE AVE STE O&P",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658041513",
"telephone_number": "417-248-1234",
"fax_number": "172-481-5154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14303 W. STATE HWY 38",
"city": "MARSHFIELD",
"state": "MO",
"postal_code": "65706",
"telephone_number": "417-859-0711",
"fax_number": "417-859-0718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISSLER",
"first_name": "MISOOK",
"middle_name": "AN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-02",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2015021497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MISOOK",
"last_name": "AN",
"middle_name": "NMN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Marshfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.