NPIMap

Organization Active NPI

Carl H. Dahlquist D.D.S.,LLC

  • Dentist
  • Blue Springs, MO
National Provider Identifier
1356689376
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
013940 Issued in MO
Legal business name
CARL H. DAHLQUIST D.D.S.,LLC
Practice address
1508 N.W. Mock Ave. Ste a
Blue Springs, MO 64015
Phone
(816) 228-7176
NPI assigned
Jan 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Authorized official

Name
Mrs. Nancy D. Porter
Title
Office Manager
Phone
(816) 228-7176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 013940 MO Primary

Addresses

Primary practice location

1508 N.W. Mock Ave. Ste a
Blue Springs, MO 64015

Mailing address

1508 N.W. Mock Ave. Ste a
Blue Springs, MO 64015
Phone (816) 228-7176

National Provider Directory

National Provider Directory

Locations

1508 NW Mock Ave
Ste A
Blue Springs, MO 64015
Phone (816) 228-7176

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1356689376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 N.W. MOCK AVE. STE A",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "64015",
            "telephone_number": "816-228-7176",
            "fax_number": "816-224-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 N.W. MOCK AVE. STE A",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "64015",
            "telephone_number": "816-228-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL H. DAHLQUIST D.D.S.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "816-228-7176",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "013940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.