Cedric Papa, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2012021220 Issued in MO

Practice address

2211 Hollow Ridge CT
Columbia, MO 65201-9854

Phone

(415) 413-7272

NPI assigned

Jun 28, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr. Craig a. Long, D.D.S.

  • General Practice Dentistry
  • Vandalia, MO
  • NPI 1215984026

  General Practice

  NPD (past)

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1407110992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S MAIN ST",
            "city": "VANDALIA",
            "state": "MO",
            "postal_code": "633821806",
            "telephone_number": "573-594-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 HOLLOW RIDGE CT",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652019854",
            "telephone_number": "415-413-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPA",
        "first_name": "CEDRIC",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2012021220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Edward Pancoast, ME
• Abinash Pandey, MD
• Jessica Pangborn, MS CCC SLP
• Rachel Dawn Pangburn, MSW, LCSW
• Theppharit Panichsillapakit, MD
• Shafaq Paracha, MD
• John A Pardalos, M.D.
• Joseph Theressa Nehu Parimi, M.D.
• Doris Park, MSN, RN. CS, FNP
• Eric Sung-Woo Park, MD

• All providers in Columbia, MO
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.