Organization Active NPI

Aegis Dental Group LLC

Doing business as Secure Dentures and Implants

  • Dental Clinic/Center
  • Springfield, MO
National Provider Identifier
1386440642
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AEGIS DENTAL GROUP LLC
Doing business as
Secure Dentures and Implants
Practice address
2671 E Sunshine St
Springfield, MO 65804-2044
Phone
(405) 433-6665
NPI assigned
Feb 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Adam Barnes, DDS
Title
Partner
Phone
(405) 433-6665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2671 E Sunshine St
Springfield, MO 65804-2044

Mailing address

213 N Broadway St
Checotah, OK 74426-2431
Phone (405) 433-6665

Other names 1

  • Secure Dentures and Implants Doing business as

National Provider Directory

National Provider Directory

Locations

2671 E Sunshine St
Springfield, MO 65804
Phone (405) 433-6665

213 N Broadway St
Checotah, OK 74426
Phone (918) 401-0200

NPI Registry JSON

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1386440642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 N BROADWAY ST",
            "city": "CHECOTAH",
            "state": "OK",
            "postal_code": "744262431",
            "telephone_number": "405-433-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2671 E SUNSHINE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042044",
            "telephone_number": "405-433-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "405-433-6665",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Secure Dentures and Implants",
            "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 19, 2025; 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.