Schaffer and Ditto DDS, PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

11810 Issued in MO

Legal business name

SCHAFFER AND DITTO DDS, PC

Practice address

2602 Cunningham Ave
Joplin, MO 64804-1542

Phone

(417) 623-2000

Fax

(417) 623-7948

NPI assigned

Mar 17, 2009

Organization subpart

No

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

Authorized official

Name

Shana Holman

Title

Insurance Coordinator

Phone

(417) 623-2000

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frank E Schaffer, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Joplin, MO
  • NPI 1831291442
  NPD (past)

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1467693630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 CUNNINGHAM AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041542",
            "telephone_number": "417-623-2000",
            "fax_number": "417-623-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 CUNNINGHAM AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041542",
            "telephone_number": "417-623-2000",
            "fax_number": "417-623-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHAFFER AND DITTO DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "417-623-2000"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "11810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER #",
            "identifier": "000748177",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "000020211",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PROVIDER NUMBER",
            "identifier": "29065",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richa Saud
• Tracy George Saunders, ATC
• Yasmeen Sawalha
• Ahmed Sbaih, M.D.
• Kyle Schafer
• Frank E Schaffer, DDS
• Jeffrey Francis Schaffer, MD
• Camryn Christine Schaller
• Amy Jenae Schaulis
• Matthew Schiffer, DO

• Oral and Maxillofacial Surgery (Dentist) in Joplin, MO
• Providers in Joplin, MO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.