NPIMap

Organization Active NPI

Rural Alliance for Better Family Health

Doing business as Southern Missouri Community Health Center Dental clinic

  • Dentist
  • West Plains, MO
National Provider Identifier
1477755544
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2004014784 Issued in MO
Legal business name
RURAL ALLIANCE FOR BETTER FAMILY HEALTH
Doing business as
Southern Missouri Community Health Center Dental clinic
Practice address
1137 Independence Dr
West Plains, MO 65775
Phone
(417) 255-8213
NPI assigned
Jun 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Pat Richards
Title
Ceo
Phone
(417) 255-8213

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2004018069 MO
Dentist 122300000X 2004014784 MO Primary

Addresses

Primary practice location

1137 Independence Dr
West Plains, MO 65775

Mailing address

1137 Independence Dr
West Plains, MO 65775
Phone (417) 255-8213

Other names 1

  • Southern Missouri Community Health Center Dental clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rural Alliance for Better5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477755544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 INDEPENDENCE DR",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "65775",
            "telephone_number": "417-255-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 INDEPENDENCE DR",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "65775",
            "telephone_number": "417-255-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL ALLIANCE FOR BETTER FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-255-8213"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2004018069",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2004014784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Missouri Community Health Center Dental clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Plains, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.