Organization Active NPI

Priggel Family Dentistry DMD LLC

  • Dentist
  • Sikeston, MO
National Provider Identifier
1649368564
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PRIGGEL FAMILY DENTISTRY DMD LLC
Practice address
504 Tanner St
Priggel Family Dentistry DMD LLC
Sikeston, MO 63801
Phone
(573) 472-3032
Fax
(573) 472-3382
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Herman Priggel, DMDNPI 1801806120
Title
Dentist
Phone
(573) 472-3032

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

504 Tanner St
Priggel Family Dentistry DMD LLC
Sikeston, MO 63801

Mailing address

504 Tanner St
Priggel Family Dentistry DMD LLC
Sikeston, MO 63801
Phone (573) 472-3032

National Provider Directory

National Provider Directory

Locations

504 Tanner St
Sikeston, MO 63801
Phone (573) 472-3032

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649368564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 TANNER ST",
            "address_2": "PRIGGEL FAMILY DENTISTRY DMD LLC",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "63801",
            "telephone_number": "573-472-3032",
            "fax_number": "573-472-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 TANNER ST",
            "address_2": "PRIGGEL FAMILY DENTISTRY DMD LLC",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "63801",
            "telephone_number": "573-472-3032",
            "fax_number": "573-472-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIGGEL FAMILY DENTISTRY DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRIGGEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "HERMAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "573-472-3032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sikeston, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.