Active NPI
Samuel Thomas Cox
- Dentist
- Sikeston, MO
National Provider Identifier
1689567968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2025019788
- Practice address
- 404 Tanner St
Sikeston, MO 63801-4273 - Phone
- (573) 380-8078
- NPI assigned
- Jun 3, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2025019788 | MO | Primary |
Addresses
Primary practice location
404 Tanner St
Sikeston, MO 63801-4273
Mailing address
404 Tanner St
Sikeston, MO 63801-4273
Phone (573) 380-8078
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 |
|---|---|---|---|
| 2025019788 | MO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748908800000",
"number": "1689567968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 TANNER ST",
"city": "SIKESTON",
"state": "MO",
"postal_code": "638014273",
"telephone_number": "573-380-8078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 TANNER ST",
"city": "SIKESTON",
"state": "MO",
"postal_code": "638014273",
"telephone_number": "573-380-8078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COX",
"first_name": "SAMUEL",
"middle_name": "THOMAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-03",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2025019788",
"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 Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.