Access Dental Services LP

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2006012741 Issued in MO

Legal business name

ACCESS DENTAL SERVICES LP

Doing business as

Access Dental & Dentures

Practice address

1701 W Sunshine St Ste Q
Springfield, MO 65807-2261

Phone

(417) 501-1048

Fax

(417) 501-1661

NPI assigned

Oct 6, 2010

Last updated

May 1, 2020By 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

Kari Hicks

Title

Sr Administrator

Phone

(417) 501-1048

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 2

• Access Dental & Dentures Doing business as
• Ozarks Family Dentistry LLC Former legal business name

Tax ID family

Access Dental Dentures2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Access Dental Services LP

  dba Access Dental & Dentures

  • General Practice Dentistry
  • Springfield, MO
  • NPI 1659018208
  NPD tax ID

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1649589706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2933",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658012933",
            "telephone_number": "417-501-1048",
            "fax_number": "417-501-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W SUNSHINE ST STE Q",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658072261",
            "telephone_number": "417-501-1048",
            "fax_number": "417-501-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS DENTAL SERVICES LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-06",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "SR ADMINISTRATOR",
        "authorized_official_telephone_number": "417-501-1048"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2006012741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI ACCESS DENTAL & DENTURES SPRINGFIELD",
            "identifier": "1427356989",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI FOR ACCESS DENTAL & DENTURES (MTG)",
            "identifier": "1376088369",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACCESS DENTAL & DENTURES (OSAGE BEACH)",
            "identifier": "1821386459",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACCESS DENTAL & DENTURES (ROLLA)",
            "identifier": "1215241005",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access Dental & Dentures",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ozarks Family Dentistry LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Melissa A Abramovitz, PA
• Lisa M Abu-Bakr, MA, LPC
• Abundance Quality Home Healthcare
• Laith Abushanab, MD
• Access Dental Services LP (Access Dental & Dentures)
• Access Dental Services LP (Access Dental & Dentures)
• Access Home Health Agency, Inc.
• Access Hospice, LLC (Access Hospice Care)
• Access in-Home & Community Services, Inc.
• Access in-Home & Community Services, Inc.

• General Practice Dentistry in Springfield, MO
• Providers in Springfield, 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 May 1, 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.