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

Last updated

Feb 4, 2016By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Craig a. Long, D.D.S.

  • General Practice Dentistry
  • Vandalia, MO
  • NPI 1215984026
  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.
• Christine Jeewan Park, MD
• Doris Park, MSN, RN. CS, FNP

• General Practice Dentistry in Columbia, MO
• Providers in Columbia, MO by specialty
• 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.