NPIMap

Organization Active NPI

Greater Springfield Endodontics Partnership

  • Endodontics
  • Springfield, MO
National Provider Identifier
1992955405
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
015864 Issued in MO
Legal business name
GREATER SPRINGFIELD ENDODONTICS PARTNERSHIP
Practice address
2808 S Ingram Mill Rd
Building C108
Springfield, MO 65804-4079
Phone
(417) 883-7668
Fax
(417) 883-8525
NPI assigned
Sep 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Authorized official

Name
Dr. Mark A. Massey, D.D.S., M.S.D.
Title
Partner
Phone
(417) 883-7668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 015864 MO Primary

Addresses

Primary practice location

2808 S Ingram Mill Rd
Building C108
Springfield, MO 65804-4079

Mailing address

2808 S Ingram Mill Rd
Building C108
Springfield, MO 65804-4079
Phone (417) 883-7668

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.

NPI Registry JSON

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1992955405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 S INGRAM MILL RD",
            "address_2": "BUILDING C108",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044079",
            "telephone_number": "417-883-7668",
            "fax_number": "417-883-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 S INGRAM MILL RD",
            "address_2": "BUILDING C108",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044079",
            "telephone_number": "417-883-7668",
            "fax_number": "417-883-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER SPRINGFIELD ENDODONTICS PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "417-883-7668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MO",
            "license": "015864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.