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JAMES RIVER DENTAL
NPI 1285939157
Clinic/Center - Dental in Springfield, MO

Active since January 24, 2011
4205 S NATURE CENTER WAY, SPRINGFIELD, MO 65804(417) 862-2468 Get Directions Write a Review

NPPES record last updated: January 24, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James River Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES RIVER DENTAL (NPI 1285939157) is a healthcare organization registered as a dental in Springfield, Missouri and active in the NPI registry since January 2011. The organization lists Derek R Kaelin, Dentist Owner, as its authorized official.

NPPES Registry Identity

NPI1285939157
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDEREK R. KAELIN D.D.S, LLC
Location Address4205 S NATURE CENTER WAYSpringfield, MO 65804-4921
Mailing Address4205 S Nature Center WaySpringfield, MO 65804-4921 · (417) 862-2468
Phone(417) 862-2468
Organization SubpartNo
Authorized OfficialDerek R KaelinDentist Owner · (417) 862-2468
Enumeration DateJanuary 24, 2011
✔ NPI 1285939157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in MO · 2003017125
4205 S NATURE CENTER WAY, Springfield, MO 65804
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Other Names 1

Doing Business AsJames River Dental

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek R. Kaelin D.D.S, LLC's NPI number?

The NPI number for Derek R. Kaelin D.D.S, LLC is 1285939157. It was assigned to this organization in the NPPES registry on January 24, 2011. The provider is doing business as James River Dental.

Where is Derek R. Kaelin D.D.S, LLC located?

Derek R. Kaelin D.D.S, LLC is located at 4205 S Nature Center Way, Springfield, MO 65804. The listed phone number is (417) 862-2468.

What is Derek R. Kaelin D.D.S, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Derek R. Kaelin D.D.S, LLC was last updated on January 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.