Family and Cosmetic Dentistry of Kokomo, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

FAMILY AND COSMETIC DENTISTRY OF KOKOMO, PC

Practice address

5111 Clinton Dr
Kokomo, IN 46902-7136

Phone

(765) 453-4369

NPI assigned

Jan 21, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Melissa A Jarrell, DDSNPI 1952318842

Title

Owner

Phone

(765) 453-4369

Specialties & licenses 1

Addresses

Practitioners 1

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

• Melissa Anson Jarrell, DDS

  • Dentist
  • Kokomo, IN
  • NPI 1952318842
  NPD Authorized official

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1235729591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 CLINTON DR",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469027136",
            "telephone_number": "765-453-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 CLINTON DR",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469027136",
            "telephone_number": "765-453-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AND COSMETIC DENTISTRY OF KOKOMO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "JARRELL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-453-4369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.