Organization Active NPI

Elmore Family Dentistry

  • Dental Clinic/Center
  • Saint Joseph, MO
National Provider Identifier
1164676540
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
200815526 Issued in MO
Legal business name
ELMORE FAMILY DENTISTRY
Practice address
3921 Sherman Ave
Saint Joseph, MO 64506-3649
Phone
(816) 279-3300
NPI assigned
Nov 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Authorized official

Name
Dr. Benjamin Elmore, DMD
Title
Dentist
Phone
(816) 279-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 200815526 MO Primary

Addresses

Primary practice location

3921 Sherman Ave
Saint Joseph, MO 64506-3649

Mailing address

3921 Sherman Ave
Saint Joseph, MO 64506-3649

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1164676540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 SHERMAN AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 SHERMAN AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063649",
            "telephone_number": "816-279-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMORE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "ELMORE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "816-279-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "200815526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.