NPIMap

Individual provider Active NPI

Dana M Meents, M.D.

  • Obstetrics & Gynecology Physician
  • Bolivar, MO
National Provider Identifier
1861448854
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
110390 Issued in MO
Practice address
1165 N Butterfield Rd
Bolivar, MO 65613-1056
Phone
(417) 777-8131
Fax
(417) 777-8892
NPI assigned
May 25, 2006
Last updated
Oct 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 110390 MO Primary

Addresses

Primary practice location

1165 N Butterfield Rd
Bolivar, MO 65613-1056

Mailing address

12639 Old Tesson Rd
Suite 115
Saint Louis, MO 63128-2786
Phone (314) 849-0311

Other identifiers 1

IdentifierTypeStateIssuer
203834007MedicaidMO

Other names 1

  • Miss Dana M Bruton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050518000102 MO Practitioner - Obstetrics/Gynecology 9739075813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Saint Louis University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citizens Memorial HealthcareGroup PAC ID 4183528169, 144 clinicians

Practice addresses (Care Compare)

Bolivar, MO 65613
Phone (417) 328-6631

1500 N Oakland Ave
CMH Diabetes
Bolivar, MO 65613-3099
Phone (417) 328-6040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Citizens Memorial Healthcare CurrentSince Oct 7, 2018 Accepting new patients
Citizens Memorial Healthcare Obstetrics & Gynecology CurrentSince Oct 7, 2018 Accepting new patients
Citizens Memorial Hospital District Past Accepting new patients
Donald Kratz MD LLC Past Accepting new patients
Citizens Memorial Hospital District PastSince Oct 14, 2010 Accepting new patients

Locations

1165 N Butterfield Rd
Bolivar, MO 65613
Phone (417) 777-6246

1195 N Oakland Ave
Bolivar, MO 65613
Phone (417) 777-2121

1195 N Oakland Ave
Ste 2
Bolivar, MO 65613
Phone (417) 777-2121

1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Colonial Springs Healthcare CenterBuffalo, MO, CCN 265245 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Oct 14, 2010
Oct 14, 2010
Oct 14, 2010
Parkview Health Care FacilityBolivar, MO, CCN 265519 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Oct 14, 2010
Oct 14, 2010
Oct 14, 2010
Citizens Memorial Health Care FacilityBolivar, MO, CCN 265545 Skilled nursing facility Corporate Director Oct 14, 2010
Community Springs Healthcare FacilityEl Dorado Springs, MO, CCN 265446 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Oct 14, 2010
Oct 14, 2010
Oct 14, 2010
Ash Grove Healthcare FacilityAsh Grove, MO, CCN 265571 Skilled nursing facility Corporate Director Oct 14, 2010
Lake Stockton Healthcare FacilityStockton, MO, CCN 265466 Skilled nursing facility Corporate Officer
Corporate Director		 Oct 14, 2010
Oct 14, 2010
Citizens Memorial Home HealthBolivar, MO, CCN 267196 Home health agency Corporate Director Oct 14, 2010
Citizens Memorial HospiceBolivar, MO, CCN 261508 Hospice Corporate Director Oct 14, 2010

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1861448854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12639 OLD TESSON RD",
            "address_2": "SUITE 115",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282786",
            "telephone_number": "314-849-0311",
            "fax_number": "314-849-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 N BUTTERFIELD RD",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656131056",
            "telephone_number": "417-777-8131",
            "fax_number": "417-777-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEENTS",
        "first_name": "DANA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "110390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203834007",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "BRUTON",
            "middle_name": "M",
            "prefix": "MISS",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bolivar, MO

Sources for this page

Verify at the official NPI Registry.