NPIMap

Organization Active NPI

Tonganoxie Family Dentistry

  • Dentist
  • Gladstone, MO
National Provider Identifier
1053655274
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60803 Issued in KS
Legal business name
TONGANOXIE FAMILY DENTISTRY
Practice address
6725 N Park Ave
Gladstone, MO 64118-3783
Phone
(816) 813-7917
NPI assigned
Nov 15, 2012
Last updated
Nov 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Dr. David H Jaeger, DDS
Title
Dentist
Phone
(816) 813-7917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60803 KS Primary

Addresses

Primary practice location

6725 N Park Ave
Gladstone, MO 64118-3783

Mailing address

766 Northstar Court
Tonganoxie, KS 66086

National Provider Directory

National Provider Directory
Tax ID family
Tonganoxie Family Dentistry3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1053655274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 NORTHSTAR COURT",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "66086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 N PARK AVE",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641183783",
            "telephone_number": "816-813-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONGANOXIE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "JAEGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "816-813-7917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "60803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.