Active NPI
David Joseph Dear, D.D.S.
- General Practice Dentistry
- Versailles, MO
National Provider Identifier
1497810006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14103
- Practice address
- 130 N Monroe St
Versailles, MO 65084-1288 - Phone
- (573) 378-5488
- Fax
- (573) 378-5488
- NPI assigned
- Dec 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14103 | MO | Primary |
Addresses
Primary practice location
130 N Monroe St
Versailles, MO 65084-1288
Mailing address
130 N Monroe St
Versailles, MO 65084-1288
Phone (573) 378-5488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170322001527 | MO | Order and Referring Only - Oral Surgery | 7719262310 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14103 | MO | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497810006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 N MONROE ST",
"city": "VERSAILLES",
"state": "MO",
"postal_code": "650841288",
"telephone_number": "573-378-5488",
"fax_number": "573-378-5488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 N MONROE ST",
"city": "VERSAILLES",
"state": "MO",
"postal_code": "650841288",
"telephone_number": "573-378-5488",
"fax_number": "573-378-5488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAR",
"first_name": "DAVID",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "14103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Versailles, MO
- Michelle Chrisman, PTA
- Citizens for Health and Wellness
- County of Morgan School District 2
- Curators of the University of Missouri (Mizzou Pharmacy - Versailles)
- Melinda Lea Daniels, LPN
- Scott Xavier Dear, D.D.S.
- Amy Michelle Difatta, CNA,BA PSYCHOLOGY
- Mary Ann Dimarsico, DO
- Margaret Dunn, PTA
- Scot Echols, MS, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.