Diamond Ridge Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DIAMOND RIDGE DENTISTRY LLC

Practice address

994 Diamond RDG Ste 200
Jefferson City, MO 65109-6885

Phone

(573) 635-3576

Fax

(573) 634-2597

NPI assigned

Apr 5, 2024

Last updated

Apr 5, 2024By 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

Mrs. Elana Marie York - de Hoyos, DMDNPI 1467939686

Title

General Dentist

Phone

(573) 774-1344

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Elana Marie York - de Hoyos

  • Dentist
  • Jefferson City, MO
  • NPI 1467939686
  NPD Authorized official
• Mollie Karleen Lindquist, DDS

  • Dentist
  • Jefferson City, MO
  • NPI 1861754418
  NPD (past)
• Nathalie Louise Tungesvik, DDS

  • General Practice Dentistry
  • Jefferson City, MO
  • NPI 1659486298
  NPD (past)

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1427800952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 DIAMOND RDG STE 200",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096885",
            "telephone_number": "573-635-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 DIAMOND RDG STE 200",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096885",
            "telephone_number": "573-635-3576",
            "fax_number": "573-634-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND RIDGE DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "YORK - DE HOYOS",
        "authorized_official_first_name": "ELANA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "573-774-1344",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Jefferson City, MO
• Providers in Jefferson City, 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 Apr 5, 2024; 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.