Jon L Reagan DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JON L REAGAN DDS PC

Doing business as

Family Dentistry of Neosho

Practice address

1112 Baxter St
Neosho, MO 64850-7814

Phone

(314) 408-2449

NPI assigned

Aug 19, 2025

Organization subpart

No

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

Authorized official

Name

Pam Draper

Title

VP of Operations

Phone

(602) 391-4086

Specialties & licenses 1

Addresses

Other names 1

• Family Dentistry of Neosho Doing business as

Locations

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1609753862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 BAXTER ST",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648507814",
            "telephone_number": "314-408-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 BAXTER ST",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648507814",
            "telephone_number": "314-408-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON L REAGAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "DRAPER",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "602-391-4086"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dentistry of Neosho",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen Howe
• Erika Michelle Jennings, PTA
• Jessica Laveroni Raye Jessica Laveroni
• John a. Yuhas, M.D., P.C.
• Chelsea Jolley, OTA
• Junior College District of Newton & McDonald Co
• Megan Keel
• Danielle N Kelsey, LCSW
• Mark S Kennedy, ARNP-BC
• Barbara E Khan, LPC

• General Practice Dentistry in Neosho, MO
• Providers in Neosho, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.