Active NPI
Ridgeview Family Dental Warrensburg, PLLC
- Dental Clinic/Center
- Warrensburg, MO
National Provider Identifier
1053182295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- RIDGEVIEW FAMILY DENTAL WARRENSBURG, PLLC
- Practice address
- 511 N Ridgeview Dr
Warrensburg, MO 64093-9336 - Phone
- (660) 747-9117
- NPI assigned
- Jan 15, 2024
- Last updated
- Jan 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Creed Cardon
- Title
- Owner
- Phone
- (918) 998-0996
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
511 N Ridgeview Dr
Warrensburg, MO 64093-9336
Mailing address
400 Riverwalk Ter Ste 250
Jenks, OK 74037-5619
Phone (918) 998-0996
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Warrensburg, MO
- NPI 1679267116
-
- Dentist
- Warrensburg, MO
- NPI 1508558834
-
- Dentist
- Sedalia, MO
- NPI 1013399351
-
- General Practice Dentistry
- Warrensburg, MO
- NPI 1134729767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705276800000",
"number": "1053182295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 RIVERWALK TER STE 250",
"city": "JENKS",
"state": "OK",
"postal_code": "740375619",
"telephone_number": "918-998-0996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 N RIDGEVIEW DR",
"city": "WARRENSBURG",
"state": "MO",
"postal_code": "640939336",
"telephone_number": "660-747-9117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIDGEVIEW FAMILY DENTAL WARRENSBURG, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-15",
"last_updated": "2024-01-15",
"certification_date": "2024-01-15",
"status": "A",
"authorized_official_last_name": "CARDON",
"authorized_official_first_name": "CREED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-998-0996"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warrensburg, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.