Cottonwood Dental Pratt, P.a.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

COTTONWOOD DENTAL PRATT, P.A.

Practice address

603 S Main St
Pratt, KS 67124-2630

Phone

(620) 672-9922

NPI assigned

Mar 17, 2021

Last updated

Mar 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mike Yates

Title

Cfo

Phone

(918) 998-0996

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Kole Robert Lopez, DDS

  • Dentist
  • Pratt, KS
  • NPI 1396312302
  NPD
• David Willardson

  • Dentist
  • Wichita, KS
  • NPI 1407344294
  NPD (past)

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1336724749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RIVERWALK TER STE 250",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740375619",
            "telephone_number": "918-998-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 S MAIN ST",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671242630",
            "telephone_number": "620-672-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD DENTAL PRATT, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "918-998-0996"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Cecil
• Heather Ann Charwinsky, PHARMD
• Clarkson Holdings, LLC
• Eric Ryan Clarkson, DO
• Jerry Clarkson, CRNA
• County of Pratt
• County of Pratt
• Covenant Housing Corporation (Parkwood Village)
• Natalie Marie Craig, LMSW
• Crossings Counseling, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.