NPIMap

Organization Active NPI

Access Dental Services LP

Doing business as Access Dental & Dentures

  • General Practice Dentistry
  • Osage Beach, MO
National Provider Identifier
1821386459
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ACCESS DENTAL SERVICES LP
Doing business as
Access Dental & Dentures
Practice address
4320 Osage Beach Pkwy
Osage Beach, MO 65065-2142
Phone
(573) 348-1466
Fax
(573) 348-1581
NPI assigned
Jul 18, 2011
Last updated
May 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Authorized official

Name
Kari Hicks
Title
Sr Administrator
Phone
(417) 501-1048

Specialties & licenses 1

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

Addresses

Primary practice location

4320 Osage Beach Pkwy
Osage Beach, MO 65065-2142

Mailing address

PO Box 2933
Springfield, MO 65801-2933
Phone (573) 348-1466

Other names 1

  • Access Dental & Dentures Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Access Dental Dentures LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4320 Osage Beach Pkwy
Osage Beach, MO 65065
Phone (323) 787-9397

Practitioners & affiliated clinicians

Practitioners 2

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": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1821386459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2933",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658012933",
            "telephone_number": "573-348-1466",
            "fax_number": "573-348-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 OSAGE BEACH PKWY",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650652142",
            "telephone_number": "573-348-1466",
            "fax_number": "573-348-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS DENTAL SERVICES LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "SR ADMINISTRATOR",
        "authorized_official_telephone_number": "417-501-1048"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access Dental & Dentures",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Osage Beach, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.