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Deactivated NPI 1275535494 Deactivated / Inactive NPI Male Practitioner

Dr. Gerald R Fankhauser , DDS

Dentist - General Practice • Springfield, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gerald Fankhauser has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 01, 2005
NPI Deactivation Date March 31, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Gerald Fankhauser, DDS was a registered Dentist - General Practice practicing in Springfield, MO. Throughout an active medical career spanning 1 years, Dr. Fankhauser provided care at the practice location at 1200 E WOODHURST DR until profile deactivation on 2006-03-31.

Practice Location & Contact Primary Location

Practice Address

1200 E Woodhurst Dr
Ste H100

Springfield, MO 658044260

Telephone 4178832214
Fax 4178838697
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Springfield, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
120 Specialists

Practicing in Springfield, MO (2113 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO 112250

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
NPI 1043236995

Doctor of Dental Surgery

Candace Wawra

Hearing Instrument Specialist

NPI 1124310107
Jonathan Clark

Family Medicine

NPI 1164415204
NPI 1225115280

Doctor of Oriental Medicine, Licensed Acupuncturist

NPI 1306918610

Doctor of Chiropractic

NPI 1366648560

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated July 03, 2025

Record deactivated on July 03, 2025

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Updated Practice Location July 08, 2007

Registered at 1200 E WOODHURST DR, STE H100, SPRINGFIELD, MO 658044260 (Tel: 4178832214)

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Updated Business Mailing Address July 08, 2007

Registered at 1200 E WOODHURST DR, STE H100, SPRINGFIELD, MO 658044260 (Tel: 4178832214)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GERALD FANKHAUSER, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #112250 in MO)

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NPI Profile Reactivated April 05, 2006

Record officially reactivated for active practice on April 05, 2006

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NPI Profile Deactivated March 31, 2006

Record deactivated on March 31, 2006

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Initial NPI Registration & Enumeration June 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275535494
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2005
Last Update: July 08, 2007
Deactivation Date: March 31, 2006

Mailing Address

1200 E Woodhurst Dr, Ste H100

Springfield, MO 658044260

Phone: 4178832214

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.