Ozark Kids Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

OZARK KIDS DENTISTRY

Practice address

820 N Kentucky Ave
West Plains, MO 65775-2023

Phone

(417) 256-0155

Fax

(417) 204-5770

NPI assigned

Nov 8, 2022

Organization subpart

No

Name

Brett Zobell, DDSNPI 1578911988

Title

Owner/Pediatric Dentist

Phone

(417) 274-4441

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brett Zobell, D.D.S

  • Pediatric Dentistry
  • Kansas City, MO
  • NPI 1578911988

  Pediatric Dentistry

  NPD Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 8, 2022.

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1043928054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N KENTUCKY AVE",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752023",
            "telephone_number": "417-256-0155",
            "fax_number": "417-204-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N KENTUCKY AVE",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752023",
            "telephone_number": "417-256-0155",
            "fax_number": "417-204-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK KIDS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "ZOBELL",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "OWNER/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "417-274-4441",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400038778",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ciarra Jade Osterkamp
• Letitia Owen, RN
• Ozark Action, Inc.
• Ozark Compounding, Inc.
• Ozark Independent Living
• Ozarks Anesthesia Associates LLC
• Ozarks Counseling and Consultation LLC
• Ozarks Medical Center
• Ozarks Medical Center
• Ozarks Medical Center

• All providers in West Plains, MO
• Pediatric Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.