Christina Ann Pryor, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2012019293 Issued in MO

Practice address

511 West Elsie Street
Van Buren, MO 63965

Phone

(573) 323-4287

NPI assigned

Jun 29, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pryor Family Dental, LLC

  • General Practice Dentistry
  • Van Buren, MO
  • NPI 1396196234

  General Practice

  NPD (past)

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1902160302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "VAN BUREN",
            "state": "MO",
            "postal_code": "639650548",
            "telephone_number": "573-323-4287",
            "fax_number": "573-323-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 WEST ELSIE STREET",
            "city": "VAN BUREN",
            "state": "MO",
            "postal_code": "63965",
            "telephone_number": "573-323-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYOR",
        "first_name": "CHRISTINA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2012019293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Nicole Orchard
• Ozark Family Medical Clinic LLC
• Linda Gail Payne
• Alexis Lynn Potter
• Pryor Family Dental, LLC
• Tina M. Reed, M.A., L.P.C.
• Jennifer Robertsonj, COTA/L
• Select Physical Therapy Holdings, Inc.
• Skyline Assisted Living LLC
• Southeast Health Center of Reynolds County, LLC

• General Practice Dentistry in Van Buren, MO
• Providers in Van Buren, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.