Individual provider Active NPI

William A Wagasy, D.D.S.

  • General Practice Dentistry
  • Springfield, MO
National Provider Identifier
1659353498
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11416 Issued in MO
Practice address
1722 S Glenstone Ave
Suite Q
Springfield, MO 65804-1519
Phone
(417) 883-8515
Fax
(417) 883-5368
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11416 MO Primary

Addresses

Primary practice location

1722 S Glenstone Ave
Suite Q
Springfield, MO 65804-1519

Mailing address

1722 S Glenstone Ave
Suite Q
Springfield, MO 65804-1513
Phone (417) 883-8515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11416MOMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1659353498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 S GLENSTONE AVE",
            "address_2": "SUITE Q",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041513",
            "telephone_number": "417-883-8515",
            "fax_number": "417-883-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 S GLENSTONE AVE",
            "address_2": "SUITE Q",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041519",
            "telephone_number": "417-883-8515",
            "fax_number": "417-883-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGASY",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "11416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.