Individual provider Active NPI

Ginger Beth Dial, N.A.S.M.

  • Specialist
  • Columbia, MO
National Provider Identifier
1700070703
Registry record updated Sep 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
LC0798845 Issued in MO
Practice address
3612 Valencia Dr
Columbia, MO 65203-3778
Phone
(573) 356-6700
NPI assigned
Sep 2, 2007
Last updated
Sep 2, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X LC0798845 MO Primary

Addresses

Primary practice location

3612 Valencia Dr
Columbia, MO 65203-3778

Mailing address

3612 Valencia Dr
Columbia, MO 65203-3778
Phone (573) 356-6700

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

LicenseStateTypeSpecialty
LC0798845MOMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1188691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188691200000",
    "number": "1700070703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 VALENCIA DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033778",
            "telephone_number": "573-356-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 VALENCIA DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033778",
            "telephone_number": "573-356-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAL",
        "first_name": "GINGER",
        "middle_name": "BETH",
        "credential": "N.A.S.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-02",
        "last_updated": "2007-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "LC0798845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.

Verify at the official NPI Registry.