Cosmopolitan Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4669 Issued in NV

Legal business name

COSMOPOLITAN DENTAL

Practice address

1301 Bertha Howe Ave
Suite 5
Mesquite, NV 89027-7502

Phone

(702) 345-2299

Fax

(702) 345-2303

NPI assigned

Apr 3, 2007

Last updated

Feb 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Theresa R Woolridge-Ofori, DDSNPI 1477575777

Title

Owner

Phone

(702) 345-2299

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Theresa Woolridge-Ofori, DDS

  • General Practice Dentistry
  • Mesquite, NV
  • NPI 1477575777
  NPD (past) Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1083735245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2608",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890242608",
            "telephone_number": "702-345-2299",
            "fax_number": "702-345-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BERTHA HOWE AVE",
            "address_2": "SUITE 5",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890277502",
            "telephone_number": "702-345-2299",
            "fax_number": "702-345-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMOPOLITAN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "WOOLRIDGE-OFORI",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-345-2299",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100505709",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Mesquite
• Angela Dee Clark
• Henry Larry Clark
• Clayton G. Fuller MD, PC
• Brian Copeland
• Cottonwood Clinical Services, LLC
• Sherie Lynn Coules
• Sean Neil Covey, C.R.N.A.
• Craniom LLC
• Todd Michael Cravens, PA-C

• General Practice Dentistry in Mesquite, NV
• Providers in Mesquite, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.