Active NPI
William Dennis Thousand, DDS
- General Practice Dentistry
- Springfield, MO
National Provider Identifier
1679681563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 012942
- Practice address
- 618 N Benton Ave
Springfield, MO 65806-1102 - Phone
- (417) 831-0150
- Fax
- (417) 831-0155
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 012942 | MO | Primary |
Addresses
Primary practice location
618 N Benton Ave
Springfield, MO 65806-1102
Mailing address
300 S Jefferson Ave
Suite 303
Springfield, MO 65806-2203
Phone (417) 831-0150
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012942 | MO | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1679681563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S JEFFERSON AVE",
"address_2": "SUITE 303",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658062203",
"telephone_number": "417-831-0150",
"fax_number": "417-831-0155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 N BENTON AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658061102",
"telephone_number": "417-831-0150",
"fax_number": "417-831-0155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOUSAND",
"first_name": "WILLIAM",
"middle_name": "DENNIS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "012942",
"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 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.