Dent Eye Center LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

2007001556 Issued in MO

Legal business name

DENT EYE CENTER LLC

Practice address

2121 N Baltimore St
Kirksville, MO 63501-5110

Phone

(660) 665-5674

NPI assigned

Apr 2, 2014

Last updated

Apr 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aaron Dent, DONPI 1376609958

Title

Physician

Phone

(636) 578-0067

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dent Eye Center LLC

  • Ophthalmology Physician
  • Kirksville, MO
  • NPI 1780096529

  O20140404001805

  Same enrollment

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aaron Dent, D.O.

  • Ophthalmology Physician
  • Lebanon, MO
  • NPI 1376609958
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1881012250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1095",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635011095",
            "telephone_number": "660-665-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 N BALTIMORE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635015110",
            "telephone_number": "660-665-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENT EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "DENT",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "636-578-0067",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2007001556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Degenhardt, D.O.
• Ted Deininger, C.O. BOCO
• John Markus Deleeuw, DO
• Jennifer Renae Delp, DNP, FNP-BC
• Dent Eye Center LLC
• Leann Nicole Dent, MED, PLPC
• Lisa Deyoung, RPH
• Dialysis Clinic Inc.
• Trisha Ann Dickey
• Martha Lenona Diggins, PLPC

• Ophthalmology Physician in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.