Active NPI
Frank E Schaffer, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Joplin, MO
National Provider Identifier
1831291442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 11810
- Practice address
- 2602 Cunningham Ave
Joplin, MO 64804-1542 - Phone
- (417) 623-2000
- Fax
- (417) 623-7948
- NPI assigned
- Sep 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 11810 | MO | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 5170 | KS |
Addresses
Primary practice location
2602 Cunningham Ave
Joplin, MO 64804-1542
Mailing address
2602 Cunningham Ave
Joplin, MO 64804-1542
Phone (417) 623-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20965 | Other | MO | BCBS MO PROVIDER # |
| 000748177 | Other | MO | UNITED CONCORDIA # |
Other names 1
- Dr. Frank E Schaffer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5170 | KS | MD | Oral and Maxillofacial Surgery (Dentist) |
| 11810 | MO | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schaffer and Ditto DDS, PC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Aosdi, Glenn J Makowski, DMD, MD, PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Joplin, MO
- NPI 1851618847
-
- Oral and Maxillofacial Surgery (Dentist)
- Joplin, MO
- NPI 1467693630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831291442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2602 CUNNINGHAM AVE",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648041542",
"telephone_number": "417-623-2000",
"fax_number": "417-623-7948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2602 CUNNINGHAM AVE",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648041542",
"telephone_number": "417-623-2000",
"fax_number": "417-623-7948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAFFER",
"first_name": "FRANK",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MO",
"license": "11810",
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "KS",
"license": "5170",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MO PROVIDER #",
"identifier": "20965",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA #",
"identifier": "000748177",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "FRANK",
"last_name": "SCHAFFER",
"middle_name": "E",
"prefix": "DR.",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Joplin, MO
Sources for this page
- 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.