Individual provider Active NPI

Aaron Richard Dannegger, DDS

  • General Practice Dentistry
  • Springfield, MO
National Provider Identifier
1659485100
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2000157244 Issued in MO
Practice address
636 W Republic Rd
Suite 120
Springfield, MO 65807-5818
Phone
(417) 882-3200
Fax
(417) 887-5189
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2000157244 MO Primary

Addresses

Primary practice location

636 W Republic Rd
Suite 120
Springfield, MO 65807-5818

Mailing address

636 W Republic Rd
Suite 120
Springfield, MO 65807-5818
Phone (417) 882-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150609001477 MO Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5395066849

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SFFD LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659485100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 W REPUBLIC RD",
            "address_2": "SUITE 120",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075818",
            "telephone_number": "417-882-3200",
            "fax_number": "417-887-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 W REPUBLIC RD",
            "address_2": "SUITE 120",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075818",
            "telephone_number": "417-882-3200",
            "fax_number": "417-887-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNEGGER",
        "first_name": "AARON",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2000157244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.