Organization Active NPI

Chesterfield Family Dental at Kingsley

  • General Practice Dentistry
  • Springfield, MO
National Provider Identifier
1376308734
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHESTERFIELD FAMILY DENTAL AT KINGSLEY
Doing business as
Roger D Buzbee, DDS
Practice address
1334 E Kingsley St Ste D
Springfield, MO 65804-7223
Phone
(417) 883-1415
NPI assigned
Feb 15, 2024
Organization subpart
Yes
Parent organization
CHESTERFIELD FAMILY DENTALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Teresa Buzbee
Title
Practice Administrator
Phone
(417) 883-1415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1334 E Kingsley St Ste D
Springfield, MO 65804-7223

Mailing address

1334 E Kingsley St Ste D
Springfield, MO 65804-7223
Phone (417) 883-1415

Other names 1

  • Roger D Buzbee, DDS Doing business as

National Provider Directory

National Provider Directory

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": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1376308734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 E KINGSLEY ST STE D",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047223",
            "telephone_number": "417-883-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 E KINGSLEY ST STE D",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047223",
            "telephone_number": "417-883-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTERFIELD FAMILY DENTAL AT KINGSLEY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHESTERFIELD FAMILY DENTAL",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "BUZBEE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "417-883-1415"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roger D Buzbee, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 15, 2024; 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.