Organization Active NPI

Jason Oberkfell, D.D.S., LLC

  • General Practice Dentistry
  • Festus, MO
National Provider Identifier
1982750923
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
016102 Issued in MO
Legal business name
JASON OBERKFELL, D.D.S., LLC
Practice address
1301 YMCA Dr
Suite 300
Festus, MO 63028-2655
Phone
(636) 993-7656
Fax
(636) 933-6034
NPI assigned
Jan 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sandy Meschede
Title
Office Manager
Phone
(636) 937-6565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 016102 MO Primary

Addresses

Primary practice location

1301 YMCA Dr
Suite 300
Festus, MO 63028-2655

Mailing address

1301 YMCA Dr
Suite 300
Festus, MO 63028-2655
Phone (636) 993-7656

National Provider Directory

National Provider Directory

Locations

1301 Ymca Dr
Ste 300
Festus, MO 63028
Phone (636) 937-6565

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982750923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 YMCA DR",
            "address_2": "SUITE 300",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282655",
            "telephone_number": "636-993-7656",
            "fax_number": "636-933-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 YMCA DR",
            "address_2": "SUITE 300",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282655",
            "telephone_number": "636-993-7656",
            "fax_number": "636-933-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON OBERKFELL, D.D.S., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MESCHEDE",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "636-937-6565"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "016102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.