Active NPI
Nick Jones McHargue
- General Practice Dentistry
- Columbia, MO
National Provider Identifier
1366555682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 015915
- Practice address
- 3301 Broadway Business Park Court
Ste. C
Columbia, MO 65203 - Phone
- (573) 445-3630
- Fax
- (573) 445-3631
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 015915 | MO | Primary |
Addresses
Primary practice location
3301 Broadway Business Park Court
Ste. C
Columbia, MO 65203
Mailing address
2308 Berryview CT.
Columbia, MO 65203
Phone (573) 446-0956
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 977525 | Other | MO | UNITED CONCORDIA |
| 127077 | Other | MO | BLUECROSS BLUESHIELD |
| 9178927 | Other | MO | HEATHCARE USA |
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 |
|---|---|---|---|
| 015915 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Eye Gallery Company | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Columbia, MO
- NPI 1386750107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366555682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2308 BERRYVIEW CT.",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65203",
"telephone_number": "573-446-0956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 BROADWAY BUSINESS PARK COURT",
"address_2": "STE. C",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65203",
"telephone_number": "573-445-3630",
"fax_number": "573-445-3631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCHARGUE",
"first_name": "NICK",
"middle_name": "JONES",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "015915",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "977525",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "127077",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEATHCARE USA",
"identifier": "9178927",
"state": "MO"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.