Two Rivers Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TWO RIVERS DENTAL, LLC

Practice address

703 N McCroskey St Ste 3
Nixa, MO 65714-9016

Phone

(541) 374-5057

Fax

(541) 374-5056

NPI assigned

Nov 10, 2025

Last updated

Nov 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Justin David Anderson, DDSNPI 1518343102

Title

Managing Member

Phone

(541) 450-0336

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justin Anderson, DDS

  • Dentist
  • Nixa, MO
  • NPI 1518343102
  NPD Authorized official

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

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1417827825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 WESTWIND DR",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657215942",
            "telephone_number": "541-450-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 N MCCROSKEY ST STE 3",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657149016",
            "telephone_number": "541-374-5057",
            "fax_number": "541-374-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO RIVERS DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "541-450-0336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haiden Joycelynn Trokey
• David Gregory True, D.O.
• Amy Turner, LMFT
• Sara Jean Turner, RDN
• Kathy Turpin, MS SLP
• Shequavia Nyesha' Tyler, PHARMD
• Typaldos Physical Therapy and Rehabilitation Center Inc (Physical Therapy Center)
• John M Typaldos, RPT
• Deborah Ann Upton, NURSE PRACTITIONER
• Jessica Vail, MS, LMFT

• General Practice Dentistry in Nixa, MO
• Providers in Nixa, 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 Nov 10, 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.