Kole Krasniqi DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KOLE KRASNIQI DDS, PC

Doing business as

East Ridge Family Dentistry

Practice address

3918 Sherman Ave
Saint Joseph, MO 64506-3648

Phone

(816) 786-1132

Fax

(816) 817-0504

NPI assigned

Apr 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kole Krasniqi, DDSNPI 1891844478

Title

President

Phone

(816) 786-1132

Specialties & licenses 1

Addresses

Other names 1

• East Ridge Family Dentistry Doing business as

Locations

Practitioners 1

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

• Kole Krasniqi, DDS

  • Dentist
  • Meriden, CT
  • NPI 1891844478

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1114191418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 SHERMAN AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063648",
            "telephone_number": "816-786-1132",
            "fax_number": "816-817-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 SHERMAN AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063648",
            "telephone_number": "816-786-1132",
            "fax_number": "816-817-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOLE KRASNIQI DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "KRASNIQI",
        "authorized_official_first_name": "KOLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-786-1132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Ridge Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer D Kline, LCSW
• Joseph Michael Kline, MSW, LCSW, LSCSW
• Megan Kline, PTA
• Susan Klosterman-Finke, CRNA
• Janet R Kohler
• James Thomas Koller
• Daniel Martin Kolm
• Teneme Konne, MD
• Jonah Siegfried Korondi, DDS
• Kosse Pediatrics, P.C.

• General Practice Dentistry in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.