Waldo Orthodontics, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2008019818 Issued in MO

Legal business name

WALDO ORTHODONTICS, LLC

Practice address

8043 Wornall Rd
Suite 203
Kansas City, MO 64114-5819

Phone

(913) 601-4413

NPI assigned

Aug 20, 2016

Organization subpart

No

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

Authorized official

Name

Shayna Bahr, DMD

Title

Manager

Phone

(303) 524-4501

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1471651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1104371012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 FARLEY ST",
            "address_2": "SUITE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8043 WORNALL RD",
            "address_2": "SUITE 203",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641145819",
            "telephone_number": "913-601-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDO ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-20",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "BAHR",
        "authorized_official_first_name": "SHAYNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-524-4501",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "2008019818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reynel B Walden, FNP-C
• Judith Waldman, DO
• Waldo Dental Care
• Waldo Medical LLC
• Waldo Oral Surgery, LLC
• Waldo Pediatric Dentistry
• Waldo Wellness Group PC
• Lance Waldo, MD
• Tammy Louise Waldon
• Brooke Waldron

• Orthodontics and Dentofacial Orthopedics Dentistry in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.