Organization Active NPI

BPD South LLC

Doing business as Ben Pyatt Dental

  • Dentist
  • Springfield, MO
National Provider Identifier
1760866255
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2009015903 Issued in MO
Legal business name
BPD SOUTH LLC
Doing business as
Ben Pyatt Dental
Practice address
3776 N Meadowgate CT
Springfield, MO 65803-7990
Phone
(417) 833-8253
NPI assigned
Jul 14, 2015
Last updated
Jul 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Authorized official

Name
Dr. Ben T Pyatt, DDS
Title
Dentist/Owner
Phone
(417) 732-2823

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2009013241 MO
Dentist 122300000X 2009015903 MO Primary

Addresses

Primary practice location

3776 N Meadowgate CT
Springfield, MO 65803-7990

Mailing address

258 US Highway 60 E
Republic, MO 65738-1938
Phone (417) 732-7090

Other names 1

  • Ben Pyatt Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1760866255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 US HIGHWAY 60 E",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657381938",
            "telephone_number": "417-732-7090",
            "fax_number": "417-732-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3776 N MEADOWGATE CT",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658037990",
            "telephone_number": "417-833-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BPD SOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "PYATT",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "417-732-2823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2009013241",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2009015903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ben Pyatt Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 14, 2015; 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.