Nathan Pulsipher DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NATHAN PULSIPHER DDS LLC

Doing business as

Healthy Smiles Dental Center

Practice address

1710 W Broadway St
West Plains, MO 65775-2246

Phone

(417) 256-4171

NPI assigned

Jun 15, 2023

Organization subpart

No

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

Authorized official

Name

Nathan Pulsipher, DDSNPI 1619594868

Title

Owner

Phone

(417) 955-1418

Specialties & licenses 1

Addresses

Other names 1

• Healthy Smiles Dental Center Doing business as

Locations

Practitioners 2

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.

• Nathan John Pulsipher, DDS

  • Dentist
  • Bolivar, MO
  • NPI 1619594868

  General Practice

  NPD Authorized official
• Ricky Cornish, DDS

  • General Practice Dentistry
  • West Plains, MO
  • NPI 1821062696
  NPD (past)

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1982389144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645",
            "city": "STOCKTON",
            "state": "MO",
            "postal_code": "657850645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 W BROADWAY ST",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752246",
            "telephone_number": "417-256-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN PULSIPHER DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "PULSIPHER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-955-1418",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Smiles Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bonnie R Murphy, BC-HIS
• Shelby Murphy
• Paul Murray
• Stephanie Amber Murray
• Heather Myers, FNP-BC
• Anita M. Nelson
• Joshua Nelson
• Zachary Nelson, LPC
• Allison Marie Newberry
• Hilda Newell, FNP

• General Practice Dentistry in West Plains, MO
• Providers in West Plains, 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 Jun 15, 2023; 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.