Individual provider Active NPI

Anmol Sethi, DDS

  • Dentist
  • Columbia, MO
National Provider Identifier
1386331759
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2023020982 Issued in MO
Practice address
2475 Broadway Bluffs Dr Ste 200
Columbia, MO 65201-8147
Phone
(844) 853-8937
Fax
(660) 885-3690
NPI assigned
Apr 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2023020982 MO Primary

Addresses

Primary practice location

2475 Broadway Bluffs Dr Ste 200
Columbia, MO 65201-8147

Mailing address

1800 Community
Clinton, MO 64735-8804
Phone (844) 853-8937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240830002311 MO Practitioner - Dentist 2264892066 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023020982MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel U. Rodgers Health Center, Inc. CurrentSince Aug 19, 2024 Accepting new patients
Compass Health, Inc CurrentSince Aug 21, 2025 Accepting new patients
Compass Health, Inc CurrentSince Aug 21, 2025 Accepting new patients
Samuel U. Rodgers Health Center, Inc CurrentSince Aug 19, 2024 Accepting new patients

Locations

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

1800 Community
#B
Clinton, MO 64735

1001 W Worley St
Columbia, MO 65203
Phone (573) 214-2314

303 N Keene St
Ste 202
Columbia, MO 65201
Phone (573) 442-8885

1101 N Providence Rd
Columbia, MO 65203
Phone (573) 777-8997

2475 Broadway Bluffs Dr
Columbia, MO 65201
Phone (573) 777-9282

200 Portland St
Columbia, MO 65201
Phone (573) 886-4600

2475 Broadway Bluffs Dr
Ste 200
Columbia, MO 65201
Phone (573) 777-9282

825 Euclid Ave
Kansas City, MO 64124
Phone (816) 889-4816

1600 N Missouri Ave
Marceline, MO 64658
Phone (660) 376-2038

1517 Union Ave
Ste C
Moberly, MO 65270
Phone (660) 263-4800

307 S Broadway
Salisbury, MO 65281
Phone (660) 388-6446

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1386331759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358804",
            "telephone_number": "844-853-8937",
            "fax_number": "660-885-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 BROADWAY BLUFFS DR STE 200",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018147",
            "telephone_number": "844-853-8937",
            "fax_number": "660-885-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETHI",
        "first_name": "ANMOL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2023020982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.