Active NPI
Nathalie Tungesvik,DDS,PC
- General Practice Dentistry
- Jefferson City, MO
National Provider Identifier
1780799320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 015327
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nathalie Louise Tungesvik, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Jefferson City, MO
- NPI 1659486298
-
- Dentist
- Jefferson City, MO
- NPI 1861754418
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.