A Bernard Short DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

A BERNARD SHORT DDS PC

Practice address

2710 S Picher Ave
Joplin, MO 64804-1643

Phone

(417) 623-6141

NPI assigned

Apr 25, 2013

Last updated

Sep 13, 2013By 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. Arthur Bernard Short, DDSNPI 1760558381

Title

Owner

Phone

(417) 623-6141

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.

• Arthur Bernard Short, DDS

  • General Practice Dentistry
  • Joplin, MO
  • NPI 1760558381
  NPD (past) Authorized official

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1457795031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 S PICHER AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041643",
            "telephone_number": "417-623-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 S PICHER AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041643",
            "telephone_number": "417-623-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BERNARD SHORT DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-25",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-623-6141",
        "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": []
}

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• General Practice Dentistry in Joplin, MO
• Providers in Joplin, 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 Sep 13, 2013; 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.