Charles Madison Cobb, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

010515 Issued in MO

Practice address

650 E 25TH St
Umkc School of Dentistry
Kansas City, MO 64108-2716

Phone

(816) 235-2147

Fax

(816) 235-5472

NPI assigned

Mar 21, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1346582913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 E 25TH ST",
            "address_2": "UMKC SCHOOL OF DENTISTRY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082716",
            "telephone_number": "816-235-2147",
            "fax_number": "816-235-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E 25TH ST",
            "address_2": "UMKC SCHOOL OF DENTISTRY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082716",
            "telephone_number": "816-235-2147",
            "fax_number": "816-235-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "CHARLES",
        "middle_name": "MADISON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-21",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "010515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill M Coan, APRN
• Charlene Coates
• Nancy Rae Coates, M.D.
• Coatney Clinic, Inc
• Andrea Coats, CRNA
• Jeanette Cobb, ACSW,LSCSW
• Jodi Fran Cobb, L.P.C.
• Lucy Diane Cobb, D.C.
• Kathe Denise Cobian, PLPC
• Nathaniel Shane Coburn, PT, DPT

• All providers in Kansas City, MO
• Dentist in Missouri

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