NPIMap

Organization Active NPI

Mahaffey Family Dentistry LLC

  • Dentist
  • Springfield, MO
National Provider Identifier
1730369943
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11799 Issued in MO
Legal business name
MAHAFFEY FAMILY DENTISTRY LLC
Practice address
509 W Battlefield St
Springfield, MO 65807-4121
Phone
(417) 887-3573
Fax
(417) 887-3585
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Dr. Darren William Mahaffey, D.D.S.NPI 1003929241
Title
Member
Phone
(417) 887-3573

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 2005015640 MO
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 11799 MO Primary

Addresses

Primary practice location

509 W Battlefield St
Springfield, MO 65807-4121

Mailing address

509 W Battlefield St
Springfield, MO 65807-4121
Phone (417) 887-3573

National Provider Directory

National Provider Directory

Locations

509 W Battlefield St
Springfield, MO 65807
Phone (417) 887-3573

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1730369943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W BATTLEFIELD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074121",
            "telephone_number": "417-887-3573",
            "fax_number": "417-887-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W BATTLEFIELD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074121",
            "telephone_number": "417-887-3573",
            "fax_number": "417-887-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHAFFEY FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "MAHAFFEY",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "417-887-3573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "2005015640",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "11799",
            "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 Nov 6, 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.