NPIMap

Organization Active NPI

Philip a. Batson, DDS, LLC

  • Dentist
  • Columbia, MO
National Provider Identifier
1790198422
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2014016764 Issued in MO
Legal business name
PHILIP A. BATSON, DDS, LLC
Doing business as
Columbia Healthy Smiles
Practice address
409 Vandiver Dr BLDG 4
Suite 101
Columbia, MO 65202-3754
Phone
(573) 875-7071
Fax
(573) 875-7072
NPI assigned
Jun 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Dr. Philip A. Batson, D.D.S.NPI 1457764185
Title
Shareholder/Dentist
Phone
(573) 875-7071

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2014016764 MO Primary

Addresses

Primary practice location

409 Vandiver Dr BLDG 4
Suite 101
Columbia, MO 65202-3754

Mailing address

409 Vandiver Dr BLDG 4
Suite 101
Columbia, MO 65202-3754
Phone (573) 875-7071

Other names 1

  • Columbia Healthy Smiles Doing business as

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": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1790198422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 VANDIVER DR BLDG 4",
            "address_2": "SUITE 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652023754",
            "telephone_number": "573-875-7071",
            "fax_number": "573-875-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 VANDIVER DR BLDG 4",
            "address_2": "SUITE 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652023754",
            "telephone_number": "573-875-7071",
            "fax_number": "573-875-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP A. BATSON, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "BATSON",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "SHAREHOLDER/DENTIST",
        "authorized_official_telephone_number": "573-875-7071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "2014016764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Healthy Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.