Individual provider Active NPI

Anthony Michael Gadbois, DDS

  • Dentist
  • Columbia, MO
National Provider Identifier
1609087337
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2000158123 Issued in MO
Practice address
220 Diego Dr Ste 201
Columbia, MO 65203-4923
Phone
(573) 446-0880
Fax
(573) 447-3121
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2000158123 MO Primary

Addresses

Primary practice location

220 Diego Dr Ste 201
Columbia, MO 65203-4923

Mailing address

2012 Cherry Hill Dr
Suite 101
Columbia, MO 65203-5882
Phone (573) 446-0880

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160608001243 MO Order and Referring Only - DentistPractitioner - Dentist 5597055244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Hill Dental Associates Inc Dentist CurrentSince Jun 15, 2000 Accepting new patients
Cherry Hill Dental Associates Inc CurrentSince Sep 8, 2024 Accepting new patients

Locations

220 Diego Dr
Columbia, MO 65203
Phone (573) 446-0880

2012 Cherry Hill Dr
Ste 101
Columbia, MO 65203
Phone (573) 446-0880

220 Diego Dr
Ste 201
Columbia, MO 65203
Phone (573) 446-0880

923 S Country Club Dr
Jefferson City, MO 65109
Phone (573) 446-0880

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1609087337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 CHERRY HILL DR",
            "address_2": "SUITE 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035882",
            "telephone_number": "573-446-0880",
            "fax_number": "573-447-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 DIEGO DR STE 201",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034923",
            "telephone_number": "573-446-0880",
            "fax_number": "573-447-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADBOIS",
        "first_name": "ANTHONY",
        "middle_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2000158123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.