Active NPI
Micayla Shrimpton, DDS
- Pediatric Dentistry
- Springfield, MO
National Provider Identifier
1467022699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 2023006785
- Practice address
- 1802 W Kearney St
Springfield, MO 65803-1647 - Phone
- (417) 567-8227
- NPI assigned
- Jun 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7740 | NE | |
| Pediatric Dentistry | 1223P0221X | 2023006785 | MO | Primary |
Addresses
Primary practice location
1802 W Kearney St
Springfield, MO 65803-1647
Mailing address
3312 Hickory St
Omaha, NE 68105-2536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7740 | NE | MD | General Practice Dentistry |
| 2023006785 | MO | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1467022699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3312 HICKORY ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681052536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 W KEARNEY ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658031647",
"telephone_number": "417-567-8227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHRIMPTON",
"first_name": "MICAYLA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-29",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "7740",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MO",
"license": "2023006785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.