SPOT 1, LLC (NPI# 1457741381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457741381 |
| Entity Type | Organization |
| Organization Name | SPOT 1, LLC |
| Other Organization Name | THE SMILE SPOT |
| Practice Address |
1324 E Montclair St Springfield MO 65804-4245 |
| Mailing Address |
1712 Pioneer Ave Ste 101 Cheyenne WY 82001-4406 |
| Practice Telephone | 4178869939 |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |
| Authorized Official Name | DR. SHAYNA BAHR (MANAGER) |
| Authorized Official Telephone | 3035244501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
MO | Dental Providers | |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
MO | Dental Providers |
| Other Name | Type Code |
|---|---|
| The Smile Spot | Doing Business As Name - Organization |
| Street Address |
1324 E MONTCLAIR ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-4245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427139872 | Joseph Michael Pruitt | Dentist | 1324 E Montclair St, Springfield, MO 65804-4245 | 2006-10-18 |
| 1174045603 | Jeffrey Kyle Maples | Dentist | 1324 E Montclair St, Springfield, MO 65804-4245 | 2017-07-17 |
| 1285093328 | Spot 2, LLC | Dentist | 1324 E Montclair St, Springfield, MO 65804-4245 | 2016-02-17 |
| 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 | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013409887 | Springfield Pediatric Dentistry | Dentist | 3130 Tom Austin Hwy Ste B, Springfield, TN 37172 | 2018-06-06 |
| 1770999658 | Shehzad Muhammad Sajid | Dentist | 7200 Jillspring Ct, Springfield, VA 22152 | 2014-07-11 |
| 1265858021 | John Han D.d.s., P.C. | Dentist | 6120 Brandon Ave Ste 114, Springfield, VA 22150-2504 | 2014-03-17 |
| 1174804280 | Nahee Williams Mcdonald Dds PC | Dentist | 7841f Rolling Rd, Springfield, VA 22153-2821 | 2011-09-01 |
| 1619177854 | Nahee Williams Mcdonald | Dentist | 7841 Rolling Road, Suite F, Springfield, VA 22153 | 2007-07-24 |
| 1346457983 | Scott H Leaf | Dentist | 7841 Rolling Rd # F, Springfield, VA 22153-2821 | 2007-05-16 |
| 1225243173 | Anne Tran Nghiem | Dentist | 200 Birnie Ave, No Tooth Left Behind Dental Clinic, Springfield, MA 01107-1102 | 2007-05-14 |
| 1730243296 | Susan M Maurer | Dentist | 3020 Happy Landing Dr, Springfield, IL 62711-6259 | 2006-12-20 |
| 1568533727 | Springfield Smiles Youth Dentistry, LLC | Dentist | 376 Cooley St, Springfield, MA 01128-1144 | 2006-11-10 |
| 1427139872 | Joseph Michael Pruitt | Dentist | 1324 E Montclair St, Springfield, MO 65804-4245 | 2006-10-18 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
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| 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.