NPIMap

Organization Active NPI

Ridgeview Family Dental R McKell Young DMD PC

  • General Practice Dentistry
  • Warrensburg, MO
National Provider Identifier
1407571516
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RIDGEVIEW FAMILY DENTAL R MCKELL YOUNG DMD PC
Practice address
511 N Ridgeview Dr
Warrensburg, MO 64093-9336
Phone
(660) 747-9117
Fax
(660) 747-7615
NPI assigned
Oct 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Dr. Jason L Kingsolver, DDSNPI 1013399351
Title
Dentist
Phone
(816) 853-2339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

511 N Ridgeview Dr
Warrensburg, MO 64093-9336

Mailing address

511 N Ridgeview Dr
Warrensburg, MO 64093-9336
Phone (660) 747-9117

Other names 1

  • Ridgeview Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

511 N Ridgeview Dr
Warrensburg, MO 64093
Phone (660) 747-9117

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1407571516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 N RIDGEVIEW DR",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640939336",
            "telephone_number": "660-747-9117",
            "fax_number": "660-747-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N RIDGEVIEW DR",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640939336",
            "telephone_number": "660-747-9117",
            "fax_number": "660-747-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEVIEW FAMILY DENTAL R MCKELL YOUNG DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "KINGSOLVER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "816-853-2339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgeview Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warrensburg, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.