NPIMap

Organization Active NPI

Capstone Family Dentistry

  • General Practice Dentistry
  • Nixa, MO
National Provider Identifier
1972859882
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2010040606 Issued in MO
Legal business name
CAPSTONE FAMILY DENTISTRY
Practice address
729 W Center Cir
Suite 104
Nixa, MO 65714-7001
Phone
(402) 429-9744
NPI assigned
Jul 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Authorized official

Name
Dr. Richard M ShermanNPI 1477833036
Title
Owner
Phone
(402) 429-9744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2010040606 MO Primary

Addresses

Primary practice location

729 W Center Cir
Suite 104
Nixa, MO 65714-7001

Mailing address

729 W Center Cir
Suite 104
Nixa, MO 65714-7001
Phone (402) 429-9744

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1343520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1972859882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 W CENTER CIR",
            "address_2": "SUITE 104",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147001",
            "telephone_number": "402-429-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 W CENTER CIR",
            "address_2": "SUITE 104",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147001",
            "telephone_number": "402-429-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSTONE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-29",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-429-9744",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2010040606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nixa, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.