Organization Active NPI

Nathalie Tungesvik,DDS,PC

  • General Practice Dentistry
  • Jefferson City, MO
National Provider Identifier
1780799320
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
015327 Issued in MO
Legal business name
NATHALIE TUNGESVIK,DDS,PC
Practice address
994 Diamond RDG
Suite 200
Jefferson City, MO 65109-6885
Phone
(573) 635-3576
Fax
(573) 634-2597
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Nathalie Louise Tungesvik, DDSNPI 1659486298
Title
President
Phone
(573) 635-3576

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 015327 MO Primary

Addresses

Primary practice location

994 Diamond RDG
Suite 200
Jefferson City, MO 65109-6885

Mailing address

3555 Antietam CT
Jefferson City, MO 65109-6899
Phone (573) 893-8380

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780799320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 ANTIETAM CT",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096899",
            "telephone_number": "573-893-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 DIAMOND RDG",
            "address_2": "SUITE 200",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096885",
            "telephone_number": "573-635-3576",
            "fax_number": "573-634-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHALIE TUNGESVIK,DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUNGESVIK",
        "authorized_official_first_name": "NATHALIE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-635-3576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "015327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.