Individual provider Active NPI

James Gregory Nail, D.D.S.

  • General Practice Dentistry
  • Springfield, MO
National Provider Identifier
1841492485
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2007014543 Issued in MO
Practice address
1200 E Woodhurst Dr
Building M Suite 400
Springfield, MO 65804-4257
Phone
(417) 881-1212
Fax
(417) 881-7867
NPI assigned
Jun 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2007014543 MO Primary

Addresses

Primary practice location

1200 E Woodhurst Dr
Building M Suite 400
Springfield, MO 65804-4257

Mailing address

1200 E Woodhurst Dr
Building M Suite 400
Springfield, MO 65804-4257
Phone (417) 881-1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150622001684 MO Order and Referring Only - DentistPractitioner - Dentist 7517278278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nail Dental LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841492485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E WOODHURST DR",
            "address_2": "BUILDING M SUITE 400",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044257",
            "telephone_number": "417-881-1212",
            "fax_number": "417-881-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E WOODHURST DR",
            "address_2": "BUILDING M SUITE 400",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044257",
            "telephone_number": "417-881-1212",
            "fax_number": "417-881-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIL",
        "first_name": "JAMES",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2007014543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.