NPIMap

Organization Active NPI

Comfort Dental of Kokomo

  • General Practice Dentistry
  • Kokomo, IN
National Provider Identifier
1356500789
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12009947 Issued in IN
Legal business name
COMFORT DENTAL OF KOKOMO
Practice address
2910 S Reed Rd
Kokomo, IN 46902-3991
Phone
(765) 455-9800
Fax
(765) 455-9898
NPI assigned
Jun 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Dr. Joseph E Beck, DDS
Title
Owner/Operator
Phone
(765) 455-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12009947 IN Primary

Addresses

Primary practice location

2910 S Reed Rd
Kokomo, IN 46902-3991

Mailing address

2910 S Reed Rd
Kokomo, IN 46902-3991
Phone (765) 455-9800

National Provider Directory

National Provider Directory

Locations

2910 S Reed Rd
Kokomo, IN 46902
Phone (765) 455-9800

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1356500789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 S REED RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023991",
            "telephone_number": "765-455-9800",
            "fax_number": "765-455-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 S REED RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023991",
            "telephone_number": "765-455-9800",
            "fax_number": "765-455-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT DENTAL OF KOKOMO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "765-455-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.