Clear Creek Family Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CLEAR CREEK FAMILY DENTAL

Practice address

609 E Wells St Ste F
Ash Grove, MO 65604-7374

Phone

(417) 751-9112

NPI assigned

May 15, 2026

Last updated

May 15, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christopher David Kollmeyer, DMDNPI 1447184890

Title

Associate Dentist

Phone

(417) 893-9915

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher David Kollmeyer, DMD

  • Dentist
  • Strafford, MO
  • NPI 1447184890
  NPD Authorized official
• Samuel Reed Zimmer, DDS

  • Dentist
  • Ash Grove, MO
  • NPI 1245722479
  NPD (past)

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

{
    "created_epoch": "1778803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1700715729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 W SAGE CT",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658106015",
            "telephone_number": "417-751-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E WELLS ST STE F",
            "city": "ASH GROVE",
            "state": "MO",
            "postal_code": "656047374",
            "telephone_number": "417-751-9112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 MO-125",
            "address_purpose": "LOCATION",
            "city": "Strafford",
            "state": "MO",
            "postal_code": "65757",
            "country_code": "US",
            "telephone_number": "417-631-4490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLEAR CREEK FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-15",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "KOLLMEYER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "ASSOCIATE DENTIST",
        "authorized_official_telephone_number": "417-893-9915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard A Boyd
• Katrina Rochelle Chambers, LMT, MMP
• Citizens Memorial Health Care Foundation (Ash Grove Healthcare Facility)
• Citizens Memorial Health Care Foundation
• Citizens Memorial Healthcare (Ash Grove Family Medical Center)
• Clear Creek Family Dental
• Jennifer J Collier, LCSW
• Roy Crocker
• Dragon Fly Counseling, LLC
• Fincare , Inc. (Ash Grove Community Mental Health Center)

• Dentist in Ash Grove, MO
• Providers in Ash Grove, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.