John A. Waldron Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12754 Issued in MO

Practice address

801 W 47TH St
Suite 408
Kansas City, MO 64112-1377

Phone

(816) 561-6150

Fax

(816) 561-6738

NPI assigned

Jul 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Westport Plaza Dental Associates

  • Dental Clinic/Center
  • Kansas City, MO
  • NPI 1992903140
  NPD (past) Authorized official
• Dustin K. Mace, L.L.C.

  dba Westport Plaza Dental Associates

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1316289424
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013923895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W 47TH ST",
            "address_2": "SUITE 408",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121377",
            "telephone_number": "816-561-6150",
            "fax_number": "816-561-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W 47TH ST",
            "address_2": "SUITE 408",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121377",
            "telephone_number": "816-561-6150",
            "fax_number": "816-561-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDRON",
        "first_name": "JOHN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "12754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waldo Pediatric Dentistry (The Smile Spot)
• Waldo Wellness Group PC
• Lance Waldo, MD
• Tammy Louise Waldon
• Brooke Waldron
• Slawomir Walewicz, MD
• Walgreen Co (Walgreens #04530)
• Walgreen Co (Walgreens #15588)
• Walgreen Co (Walgreens #04204)
• Walgreen Co (Walgreens #12153)

• General Practice Dentistry in Kansas City, MO
• Providers in Kansas City, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.