PHILIP CONRAD JAYNES (NPI# 1659376168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659376168 |
| Entity Type | Individual |
| Full Name | PHILIP CONRAD JAYNES |
| Credential | DDS,MS |
| Practice Address |
1502 E Broadway Ste 209 Columbia MO 65201-8076 |
| Practice Telephone | 5734437230 |
| Practice Fax Number | 5732568720 |
| Mailing Telephone | 5734437230 |
| Mailing Fax Number | 5732568720 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
011954 | MO | Dental Providers |
| Street Address |
1502 E BROADWAY STE 209 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-8076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235484718 | Myriam Ensling, M.d., LLC | Internal Medicine | 1502 E Broadway, Suite 201, Columbia, MO 65201-8076 | 2012-07-20 |
| 1063630101 | Ronald Wayne Ochsner | Dentist | 1502 E Broadway, Suite 201, Columbia, MO 65201-8076 | 2007-04-23 |
| 1982625877 | Radiology Consultants, Inc | Radiology | 1502 E Broadway, Suite 210, Columbia, MO 65201-8076 | 2006-07-23 |
| 1972521565 | Larry L Penney | Obstetrics & Gynecology | 1502 E Broadway, Suite 106, Columbia, MO 65201-8076 | 2006-07-18 |
| 1386679298 | Gilbert Wilshire | Obstetrics & Gynecology | 1502 E Broadway, Suite 106, Columbia, MO 65201-8076 | 2006-07-11 |
| 1477540458 | Charles M. Swaney | Radiology | 1502 E Broadway, Suite 210, Columbia, MO 65201-8076 | 2005-10-04 |
| 1992792071 | Vijay K. Sadhu | Radiology | 1502 E Broadway, Suite 210, Columbia, MO 65201-8076 | 2005-10-04 |
| 1720075823 | David P. Brummett | Radiology | 1502 E Broadway, Suite 210, Columbia, MO 65201-8076 | 2005-10-04 |
| 1821085812 | Hun T. Lee | Radiology | 1502 E Broadway, Suite 210, Columbia, MO 65201-8076 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332619 | Candid South Carolina, P.C. | Dentist | 136-4 Forum Drive #a20, Columbia, SC 29229 | 2020-09-29 |
| 1609412592 | Nuclear Smiles LLC | Dentist | 10100 Twin Rivers Rd Apt 121, Columbia, MD 21044-2578 | 2019-11-26 |
| 1164959524 | Mariel Cotton | Dentist | 840 Admiral Weinel Blvd, Columbia, IL 62236-1992 | 2017-05-16 |
| 1730409152 | Barbara G. Halpern | Dentist | 5570 Sterrett Place, Suite 301, Columbia, MD 21044 | 2010-06-08 |
| 1477796118 | Columbia Orthodontics, PC | Dentist | 1324 Trotwood Ave Ste 1, Columbia, TN 38401-4750 | 2009-04-10 |
| 1598914525 | The Dental Specialty Center, LLC | Dentist | 303 N Keene St Ste 210, Columbia, MO 65201-7193 | 2008-09-15 |
| 1033310685 | Kerry White Brown | Dentist | 224 Oneil Ct Ste 13, Columbia, SC 29223-7649 | 2007-05-30 |
| 1063631711 | Kerry White Brown, Dds, PC | Dentist | 224 Oneil Ct, Suite 13, Columbia, SC 29223-7649 | 2007-04-24 |
| 1962526277 | Columbia Orthodontics | Dentist | 1060 Admiral Weinel Blvd, Columbia, IL 62236-1988 | 2007-03-19 |
| 1326178716 | Kent Wingard Washington | Dentist | 7621 Trenholm Road Ext, Columbia, SC 29223-1719 | 2007-03-06 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on PHILIP CONRAD JAYNES.
| 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.