My Dentist Western, KC, PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MY DENTIST WESTERN, KC, PA

Doing business as

My Dentist

Practice address

7848 State Ave
Kansas City, KS 66112-2417

Phone

(913) 299-1001

Fax

(913) 299-1002

NPI assigned

Sep 12, 2013

Organization subpart

Yes

Parent organization

MY DENTIST HOLDINGS, LLCAs reported in NPPES

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

Authorized official

Name

Jennifer Chambers, DDS

Title

Chief Dental Director

Phone

(405) 753-1237

Specialties & licenses 1

Addresses

Other names 1

• My Dentist Doing business as

Tax ID family

My Dentist Western KC PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• My Dentist Western KC, PA

  • General Practice Dentistry
  • Kansas City, KS
  • NPI 1376963231
  NPD tax ID

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1215362066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 702620",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741702620",
            "telephone_number": "405-286-9024",
            "fax_number": "405-286-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7848 STATE AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661122417",
            "telephone_number": "913-299-1001",
            "fax_number": "913-299-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY DENTIST WESTERN, KC, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MY DENTIST HOLDINGS, LLC",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF DENTAL DIRECTOR",
        "authorized_official_telephone_number": "405-753-1237",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Mussatto, M.D.
• Reem Mustafa, MD
• Benjamin Michael Mustain, L.M.S.W.
• Sumalatha Muthineni, MBBS
• My Dentist Western KC, PA
• Kyle Matthew Myers, DO
• Roseanna Myers
• Myo Inc
• Amr Nabaah, MD
• John David Nachtigal, M.D.

• Dentist in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.