Columbia Surgical Prosthodontics LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

COLUMBIA SURGICAL PROSTHODONTICS LLC

Doing business as

Vanderveen Dental Center

Practice address

900 Rain Forest Pkwy Ste a
Columbia, MO 65202-3941

Phone

(573) 443-8100

NPI assigned

Sep 27, 2024

Last updated

Oct 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Venkata Guvva, DDSNPI 1265084875

Title

Owner

Phone

(419) 819-7450

Specialties & licenses 1

Addresses

Other names 1

• Vanderveen Dental Center Doing business as

Locations

Practitioners 3

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.

• Venkata Siva Reddy Guvva, BDS,PROSTHODONTICS

  • Prosthodontics
  • Jefferson City, MO
  • NPI 1265084875
  NPD Authorized official
• Douglas Eugene Harshberger, D.D.S.

  • Prosthodontics
  • Independence, MO
  • NPI 1053490565
  NPD (past)
• Nelson Henry, DDS

  • Dentist
  • Jefferson City, MO
  • NPI 1003978412
  NPD (past)

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1629896758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19301 E US HIGHWAY 40 STE A",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555572",
            "telephone_number": "816-886-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 RAIN FOREST PKWY STE A",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652023941",
            "telephone_number": "573-443-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA SURGICAL PROSTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "GUVVA",
        "authorized_official_first_name": "VENKATA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-819-7450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vanderveen Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Columbia Retina Clinic, LTD.
• Columbia Skilled Nursing Associates LLC
• Columbia Speech Therapy Services, LLC
• Columbia Sports Chiropractic, LLC
• Columbia Surgical Associates Inc
• Columbia Surgical Services, Inc.
• Columbia Urgent Care, Inc
• Columbia/Boone County Department of Public Health and Human Services
• Jack M Colwill, MD
• Adam Michael Combiths, MD

• Dental Clinic/Center in Columbia, MO
• Providers in Columbia, MO by specialty
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.