Active NPI
Anthony Michael Gadbois, DDS
- Dentist
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2000158123
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160608001243 | MO | Order and Referring Only - 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.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherry Hill Dental Associates Inc | Dentist | Current | Accepting new patients |
| Cherry Hill Dental Associates Inc | Current | 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.
-
- General Practice Dentistry
- Columbia, MO
- NPI 1285623504
-
- Dentist
- Jefferson City, MO
- NPI 1942751086
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.