Cass County Dental Clinic, LLC

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

CASS COUNTY DENTAL CLINIC, LLC

Practice address

802 E Walnut St
Belton, MO 64012-2544

Phone

(816) 276-4955

Fax

(816) 276-4928

NPI assigned

Dec 13, 2010

Last updated

Dec 13, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

RESEARCH BELTON FOUNDATION SOLE MAs reported in NPPES

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

Authorized official

Name

Mrs. Cynthia Randazzo

Title

President/Ceo

Phone

(816) 276-4218

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1134422280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 E MEYER BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321136",
            "telephone_number": "816-276-4955",
            "fax_number": "816-276-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 E WALNUT ST",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122544",
            "telephone_number": "816-276-4955",
            "fax_number": "816-276-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASS COUNTY DENTAL CLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESEARCH BELTON FOUNDATION SOLE M",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "RANDAZZO",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "816-276-4218",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carnegie Village Assisted Living
• Carnegie Village Rehabilitation & Health Care Center LLC
• Mackinley Jordan Carpenter
• Barbara Jean Carter, RN
• Michael Ryan Cartwright, DC
• Cass County Pediatrics
• Children's Mercy - Cass County Pediatrics & Adolescents
• John Christian
• Lillian Nicole Chronister, MSN, RN, CEN
• Amy E Ciccio, M.D.

• Public Health Dentistry in Belton, MO
• Providers in Belton, MO by specialty
• Public Health Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.