ASCEND DENTAL DESIGN, LLC (NPI# 1043691462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043691462 |
| Entity Type | Organization |
| Organization Name | ASCEND DENTAL DESIGN, LLC |
| Practice Address |
1200 E Woodhurst Dr Building U Springfield MO 65804-4240 |
| Practice Telephone | 4178873100 |
| Practice Fax Number | 4178873066 |
| Mailing Telephone | 4178873100 |
| Mailing Fax Number | 4178873066 |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |
| Authorized Official Name | DR. JEFFREY L DORMAN (MEMBER) |
| Authorized Official Telephone | 4178873100 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
1200 E WOODHURST DR BUILDING U |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-4240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366444663 | Thomas Joseph Meyer | Dentist | 1200 E Woodhurst Dr, Ste H200, Springfield, MO 65804-3776 | 2005-06-01 |
| 1770031759 | Patricia Wagner | Nurse Practitioner | 1200 E Woodhurst Dr, Q200, Springfield, MO 65804-4261 | 2016-09-19 |
| 1356700181 | Glen H Petteway, D.d.s., P.C. | Dentist | 1200 E Woodhurst Dr, Bld T, Suite 300, Springfield, MO 65804-4261 | 2016-02-22 |
| 1699170159 | Geosling Chiropractic Clinic, Inc | Clinic/Center | 1200 E Woodhurst Dr, Suite L200, Springfield, MO 65804-4261 | 2014-10-27 |
| 1336560010 | Thomas F, Hoff, Dds, LLC | Dentist | 1200 E Woodhurst Dr, Building F Suite 100, Springfield, MO 65807-4261 | 2013-12-23 |
| 1801234828 | Derek J Magers | Dentist | 1200 E Woodhurst Dr, Building U, Springfield, MO 65804-4261 | 2013-06-12 |
| 1073805776 | Wellness Concepts Clinic | Chiropractor | 1200 E Woodhurst Dr, Suite R300, Springfield, MO 65804-4261 | 2011-05-12 |
| 1124310107 | Candace Wawra | Hearing Instrument Specialist | 1200 E Woodhurst Dr, Suite Q Building 100, Springfield, MO 65804-4261 | 2011-05-09 |
| 1437450970 | Springfield Hearing Center | Hearing Instrument Specialist | 1200 E Woodhurst Dr, Suite Q-100, Springfield, MO 65804-4261 | 2010-11-16 |
| 1699007286 | Wayne B Miles Md PC | Internal Medicine | 1200 E Woodhurst Dr, Bldg K Suite 300, Springfield, MO 65804-4261 | 2010-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568092377 | Center for Dental Sleep Medicine, PC | Clinic/Center | 1795 Main St Ste 108, Springfield, MA 01103-1078 | 2020-01-21 |
| 1689228140 | Dr Dental of Massachusetts PC | Clinic/Center | 1101 Boston Road, Springfield, MA 01119 | 2019-08-01 |
| 1275094864 | Itooth Family Dentistry, LLC | Clinic/Center | 3211 E Battlefield St Ste 100, Springfield, MO 65804-4071 | 2019-03-27 |
| 1164918868 | Noble Family Dental PC | Clinic/Center | 665 Boston Rd, Springfield, MA 01119-1303 | 2018-07-05 |
| 1316430952 | Peterson Dental Care LLC | Clinic/Center | 2501 W Iles Ave Ste A, Springfield, IL 62704-6482 | 2018-06-08 |
| 1447765029 | Dental 32, L.L.C. | Clinic/Center | 2142 S Brentwood Blvd, Springfield, MO 65804-2539 | 2017-12-05 |
| 1922435148 | Kelly Dental LLC | Clinic/Center | 1655 S. Enterprise Ave Ste. A-3, Springfield, MO 65804 | 2013-10-02 |
| 1184986077 | All About Smiles Lc | Clinic/Center | 1717 E Cherokee St, Suite 104, Springfield, MO 65804-2335 | 2012-06-15 |
| 1285939157 | Derek R. Kaelin D.d.s, LLC | Clinic/Center | 4205 S Nature Center Way, Springfield, MO 65804-4921 | 2011-01-24 |
| 1295030203 | Derek R. Kaelin, D.d.s, LLC | Clinic/Center | 2105 W Kearney St Ste A, Springfield, MO 65803-1666 | 2011-01-21 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
Please comment or provide details below to improve the information on ASCEND DENTAL DESIGN, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.