Organization Active NPI

Bassett Dentistry LLC

Doing business as Show Me Dental

  • General Practice Dentistry
  • Farmington, MO
National Provider Identifier
1629470471
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
LC1138006 Issued in MO
Legal business name
BASSETT DENTISTRY LLC
Doing business as
Show Me Dental
Practice address
19 S Franklin St
Farmington, MO 63640-2503
Phone
(573) 756-1236
Fax
(573) 756-7660
NPI assigned
Sep 24, 2014
Last updated
Sep 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Authorized official

Name
Dr. Benjamin Bassett, DDS
Title
Owner/Partner
Phone
(573) 756-1236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X LC1138006 MO Primary

Addresses

Primary practice location

19 S Franklin St
Farmington, MO 63640-2503

Mailing address

19 S Franklin St
Farmington, MO 63640-2503
Phone (573) 756-1236

Other names 1

  • Show Me Dental Doing business as

National Provider Directory

National Provider Directory

Locations

19 S Franklin St
Farmington, MO 63640
Phone (573) 756-1236

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1629470471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 S FRANKLIN ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636402503",
            "telephone_number": "573-756-1236",
            "fax_number": "573-756-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 S FRANKLIN ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636402503",
            "telephone_number": "573-756-1236",
            "fax_number": "573-756-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASSETT DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "BASSETT",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "573-756-1236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "LC1138006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Show Me Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.