DR. CHARLES JUSTUS ELKINGTON (NPI# 1841584737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841584737 |
| Entity Type | Individual |
| Full Name | DR. CHARLES JUSTUS ELKINGTON |
| Credential | DMD |
| Practice Address |
508 W Pine St Farmington MO 63640-1426 |
| Practice Telephone | 5736641100 |
| Practice Fax Number | 5736641102 |
| Mailing Telephone | 5736641100 |
| Mailing Fax Number | 5736641102 |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2013-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2011014783 | MO | Dental Providers |
| Street Address |
508 W PINE ST |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-1426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316053028 | Gina Heberlie | Nurse Practitioner | 508 W Pine St, Farmington, MO 63640-1426 | 2006-08-23 |
| 1568088045 | Tanner Lorenz | Dentist | 508 W Pine St, Farmington, MO 63640-1426 | 2020-06-22 |
| 1568860641 | Parkcrest Orthopedics LLC | Orthopaedic Surgery | 508 W Pine St, Farmington, MO 63640-1426 | 2014-12-05 |
| 1922446384 | Great Mines Health Center | Clinic/Center | 508 W Pine St, Farmington, MO 63640-1426 | 2013-06-07 |
| 1760754386 | Midwest Health Group, LLC | Non-Pharmacy Dispensing Site | 508 W Pine St, Farmington, MO 63640-1426 | 2012-01-27 |
| 1356629430 | Christine A Herrington | Nurse Practitioner | 508 W Pine St, Farmington, MO 63640-1426 | 2011-07-24 |
| 1992884183 | Diane Marie Radosevich | Nurse Practitioner | 508 W Pine St, Farmington, MO 63640-1426 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790273373 | Cameron Seymour | Dentist | 291 Farmington Ave Ste 5, Farmington, CT 06032 | 2018-04-29 |
| 1043662802 | Derek Edward Owens | Dentist | 3030 E Main St Ste T1, Farmington, NM 87402-7627 | 2016-07-05 |
| 1992155568 | Jeff Blomstedt | Dentist | 1510 E 20th St, Suite B, Farmington, NM 87401-9033 | 2016-06-15 |
| 1952781346 | Jenna Palmer | Dentist | 20700 Chippendale Ave W Ste 10, Farmington, MN 55024-8206 | 2015-06-01 |
| 1942604533 | Ryan H Wilson Dds LLC | Dentist | 4760 N Butler Ave Ste D, Farmington, NM 87401-0816 | 2014-10-10 |
| 1649693284 | Farmington Family Dental Pllc | Dentist | 34405 Grand River, Farmington, MI 48335 | 2014-02-03 |
| 1558790378 | Dr David Herman's Four Corners Dental, LLC | Dentist | 3751 N Butler Ave Ste 113, Farmington, NM 87401-6425 | 2013-11-02 |
| 1235487851 | John William Loberg | Dentist | 2650 E Pinon Frontage Rd Bldg 200, Farmington, NM 87402-5084 | 2012-08-29 |
| 1265728547 | Remi Sarna | Dentist | 34505 Grand River Ave, Farmington, MI 48335-3311 | 2011-06-24 |
| 1912223058 | Manu Mohan Sachdev | Dentist | 52 N 1100 W, Farmington, UT 84025-2181 | 2010-04-14 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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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.