Organization Active NPI

Aosdi, Glenn J Makowski, DMD, MD, PC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Joplin, MO
National Provider Identifier
1851618847
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
AOSDI, GLENN J MAKOWSKI, DMD, MD, PC
Practice address
2602 Cunningham Ave
Joplin, MO 64804-1542
Phone
(417) 623-2000
Fax
(417) 623-7948
NPI assigned
Apr 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
Dr. Glenn Makowski, DMD, MD
Title
Owner, Oral Maxillofacial Surgeon
Phone
(417) 623-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X Primary

Addresses

Primary practice location

2602 Cunningham Ave
Joplin, MO 64804-1542

Mailing address

2602 Cunningham Ave
Joplin, MO 64804-1542
Phone (417) 623-2000

National Provider Directory

National Provider Directory

Locations

2602 Cunningham Ave
Joplin, MO 64804
Phone (417) 623-2000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1851618847",
    "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": {
        "organization_name": "AOSDI, GLENN J MAKOWSKI, DMD, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "MAKOWSKI",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER, ORAL MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "417-623-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 29, 2010; 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.