John Fletcher Majors Jr., D.D.S.
Individual provider Active NPI Dentist · Gainesville, MO
NPI 1366461675 · NPPES record last updated Jan 3, 2020
Key facts
- NPI
- 1366461675
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 1366461675 (MO)
- Practice address
- 87 Elm Street
Gainesville, MO 65655-0000 - Phone
- (417) 679-2775
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170217000795 | MO | Order and Referring Only - Dentist |
1850674839 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1366461675 | MO | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1366461675 | MO | Yes |
Addresses
Primary practice location
87 Elm Street
Gainesville, MO 65655-0000
Mailing address
PO Box 1359
Ava, MO 65608-1359
Phone (417) 683-5739
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400040419 | Medicaid | MO |
Other providers in Gainesville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.