NPIMap

Organization Active NPI

Cotham Dental Group PC

Doing business as 32nd Street Dental

  • General Practice Dentistry
  • Joplin, MO
National Provider Identifier
1265962997
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COTHAM DENTAL GROUP PC
Doing business as
32nd Street Dental
All About Smiles
Mammoth Spring Dental Clinic
Practice address
614 E 32ND St
Joplin, MO 64804-3905
Phone
(417) 781-6233
NPI assigned
Jun 15, 2017
Last updated
Feb 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Dr. Brett E Cotham, DDSNPI 1376807537
Title
Owner
Phone
(417) 280-6273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

614 E 32ND St
Joplin, MO 64804-3905

Mailing address

614 E 32ND St
Joplin, MO 64804-3905
Phone (417) 781-6233

Other practice location 1

3207 W Arapaho Dr
Rogers, AR 72758-1363
Phone (479) 621-9700

Other practice location 2

180 Main Street
Mammoth Spring, AR 72554
Phone (870) 625-3262

Other names 3

  • 32nd Street Dental Doing business as
  • All About Smiles Doing business as
  • Mammoth Spring Dental Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

614 E 32nd St
Joplin, MO 64804
Phone (417) 781-6233

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1265962997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 E 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043905",
            "telephone_number": "417-781-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 E 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043905",
            "telephone_number": "417-781-6233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3207 W Arapaho Dr",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727581363",
            "country_code": "US",
            "telephone_number": "479-621-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 Main Street",
            "address_purpose": "LOCATION",
            "city": "Mammoth Spring",
            "state": "AR",
            "postal_code": "72554",
            "country_code": "US",
            "telephone_number": "870-625-3262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COTHAM DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "COTHAM",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-280-6273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "32nd Street Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "All About Smiles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "All About Smiles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mammoth Spring Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.