NPIMap

Organization Active NPI

Gipson, Arquitt, Meyer and Shaner DDS, PC

Doing business as Oms

  • Oral and Maxillofacial Surgery (Dentist)
  • Springfield, MO
National Provider Identifier
1801091657
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
GIPSON, ARQUITT, MEYER AND SHANER DDS, PC
Doing business as
Oms
Practice address
1103 E Montclair St
Suite 100
Springfield, MO 65807-5076
Phone
(417) 887-8800
Fax
(417) 887-6265
NPI assigned
Jun 20, 2007
Last updated
Jan 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Ms. Susan Rust
Title
Administrator
Phone
(417) 887-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X MO Primary

Addresses

Primary practice location

1103 E Montclair St
Suite 100
Springfield, MO 65807-5076

Mailing address

1103 E Montclair St
Suite 100
Springfield, MO 65807-5076
Phone (417) 887-8800

Other names 1

  • OMS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041015000432 MO Part B Supplier - Clinic/Group Practice 6103886981 Receives reassigned benefits from 8 practitioners
Practice locations: Branson, MO; Springfield, MO

National Provider Directory

National Provider Directory

Locations

102 SMT Dr
Branson, MO 65616

102 SMT Dr
Branson, MO 65616
Phone 41788788001254

1440 State Highway 248
Branson, MO 65616
Phone (417) 337-5770

1440 State Highway 248
Ste O
Branson, MO 65616
Phone (417) 239-0706

1103 E Montclair St
Springfield, MO 65807
Phone (316) 616-8157

1103 E Montclair St
Ste 100
Springfield, MO 65807
Phone (414) 887-8800

Practitioners & affiliated clinicians

Practitioners 9

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": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1801091657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 E MONTCLAIR ST",
            "address_2": "SUITE 100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075076",
            "telephone_number": "417-887-8800",
            "fax_number": "417-887-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 E MONTCLAIR ST",
            "address_2": "SUITE 100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075076",
            "telephone_number": "417-887-8800",
            "fax_number": "417-887-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIPSON, ARQUITT, MEYER AND SHANER DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "RUST",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "417-887-8800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMS",
            "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 Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.