DR. JAMES DAVID GIPSON (NPI# 1417942426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417942426 |
| Entity Type | Individual |
| Full Name | DR. JAMES DAVID GIPSON |
| Credential | DDS MD |
| Practice Address |
1103 E Montclair St Suite 100 Springfield MO 65807-5076 |
| Practice Telephone | 4178878800 |
| Practice Fax Number | 4178876265 |
| Mailing Telephone | 4178878800 |
| Mailing Fax Number | 4178876265 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
015813D | MO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED CONCORDIA | 967720 | 01 | |
| B CHOICE | 107914 | 01 | |
| BC/S DENTAL | 11827 | 01 | |
| BC/S MEDICAL | 107914 | 01 |
| Street Address |
1103 E MONTCLAIR ST SUITE 100 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-5076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285892380 | Tracy L Beckham | Nurse Anesthetist, Certified Registered | 1103 E Montclair St, Suite 110, Springfield, MO 65807-5076 | 2008-05-27 |
| 1801091657 | Quinn, Collins, Gipson, Arquitt and Meyer, Dds, PC | Dentist | 1103 E Montclair St, Suite 100, Springfield, MO 65807-5076 | 2007-06-20 |
| 1942337001 | Oral Anesthesia Group Inc | Anesthesiology | 1103 E Montclair St, Suite 110, Springfield, MO 65807-5076 | 2007-02-27 |
| 1629105770 | C. Rex Witherspoon Surgery Center Inc | Clinic/Center | 1103 E Montclair St, Suite 110, Springfield, MO 65807-5076 | 2007-02-27 |
| 1861437055 | Christopher Michael Meyer | Dentist | 1103 E Montclair St, Springfield, MO 65807-5076 | 2006-06-19 |
| 1831184423 | Thomas A Collins Jr. | Dentist | 1103 E Montclair St, Suite 100, Springfield, MO 65807-5076 | 2005-09-20 |
| 1144215740 | Steven P Quinn | Dentist | 1103 E Montclair St, Suite 100, Springfield, MO 65807-5076 | 2005-09-20 |
| 1306831904 | Thomas A Collins Sr. | Dentist | 1103 E Montclair St, Suite 100, Springfield, MO 65807-5076 | 2005-09-20 |
| 1720073703 | George E Arquitt IIi | Dentist | 1103 E Montclair St, Suite 100, Springfield, MO 65807-5076 | 2005-09-15 |
| 1356336374 | Charles Rex Witherspoon | Dentist | 1103 E Montclair St, Suite 100, Springfield, MO 65807-5076 | 2005-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669960027 | New England Family Dentistry,pc | Dentist | 366 Cooley St, Springfield, MA 01128-1144 | 2018-05-01 |
| 1841739588 | Dr. Shahid Aziz Oral and Maxillofacial Surgery LLC | Dentist | 118 Mapes Ave, Springfield, NJ 07081-3220 | 2017-02-14 |
| 1740490648 | Phuong Ngoc Nguyen | Dentist | 9328 Castle Hill Rd, Springfield, VA 22153-3900 | 2007-05-22 |
| 1699892042 | Phllip M. Jensen | Dentist | 2606 Marketplace Dr, Springfield, IL 62702-1467 | 2007-03-22 |
| 1063564938 | Richard William Alcorn | Dentist | 2871 Stanton St, Springfield, IL 62703-5508 | 2007-01-18 |
| 1881760254 | Barry Richard Wolinsky | Dentist | 493 Morris Ave, Springfield, NJ 07081-1061 | 2006-11-28 |
| 1487725719 | Roy Peter Guerin IIi | Dentist | 2530 Game Farm Rd, Springfield, OR 97477-7513 | 2006-11-10 |
| 1598876260 | Kevin Louis Trombly | Dentist | 1575 Wilbraham Rd, Springfield, MA 01119 | 2006-08-31 |
| 1346352218 | Louis Dennis Scannura | Dentist | 3007 Spring Mill Dr, Springfield, IL 62704-6558 | 2006-08-31 |
| 1295773042 | Margo J Freedberg | Dentist | 475 Morris Ave, Springfield, NJ 07081-1005 | 2006-06-03 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
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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.