Jeffrey Dean Patton, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

012232 Issued in MO

Practice address

2906 Breckenridge Dr
Cape Girardeau, MO 63701-1728

Phone

(573) 334-8798

NPI assigned

Apr 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cape Girardeau Dentistry, LLC

  • Dental Clinic/Center
  • Cape Girardeau, MO
  • NPI 1982232849
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831212703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 SYLVAN LN",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637016900",
            "telephone_number": "573-334-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 BRECKENRIDGE DR",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637011728",
            "telephone_number": "573-334-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "JEFFREY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "012232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Channing Pattengill, P.T.
• Regina Renee Pattengill, MA CCC-SLP
• Ariese Patterson
• Mary Kathleen Patterson, LPC
• Morgan Makayla Patterson
• Paige Paullus, PHARMD
• Cliff E Pawley, ATC
• Autumn S Payne, PTA
• PC Medical Centers LLC
• Sonya Marie Pearman

• General Practice Dentistry in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.