NPIMap

Organization Active NPI

Scottkoerner, D.D.S.,P.C.

  • Dental Clinic/Center
  • Boonville, MO
National Provider Identifier
1821150392
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12714 Issued in MO
Legal business name
SCOTTKOERNER, D.D.S.,P.C.
Practice address
605 Main St
Boonville, MO 65233-1571
Phone
(660) 882-7097
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Dr. David Scott Koerner, DDSNPI 1497832448
Title
President
Phone
(660) 882-7097

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
Dental Clinic/Center 261QD0000X 12714 MO Primary

Addresses

Primary practice location

605 Main St
Boonville, MO 65233-1571

Mailing address

605 Main St
Boonville, MO 65233-1571

National Provider Directory

National Provider Directory

Locations

605 Main St
Boonville, MO 65233
Phone (660) 882-7097

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1821150392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 MAIN ST",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652331571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 MAIN ST",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652331571",
            "telephone_number": "660-882-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTKOERNER, D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "KOERNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "660-882-7097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "12714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boonville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.