Active NPI
Aosdi, Glenn J Makowski, DMD, MD, PC
- Oral & Maxillofacial Surgery (D.M.D.)
- Joplin, MO
National Provider Identifier
1851618847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 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 DirectoryLocations
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Joplin, MO
- NPI 1831291442
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.