Christopher M Ostendorf DDS LLC

Primary specialty

DentistTaxonomy code 122300000X

License

2012015664 Issued in MO

Legal business name

CHRISTOPHER M OSTENDORF DDS LLC

Practice address

303 Park Avenue
Stewartsville, MO 64490

Phone

(816) 669-3611

Fax

(816) 669-3253

NPI assigned

Feb 7, 2017

Last updated

Feb 7, 2017By 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

Dr. Christopher Michael Ostendorf, DDS

Title

Owner/Operator

Phone

(218) 290-1870

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1427596790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 PARK AVENUE",
            "city": "STEWARTSVILLE",
            "state": "MO",
            "postal_code": "64490",
            "telephone_number": "816-669-3611",
            "fax_number": "816-669-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 PARK AVENUE",
            "city": "STEWARTSVILLE",
            "state": "MO",
            "postal_code": "64490",
            "telephone_number": "816-669-3611",
            "fax_number": "816-669-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER M OSTENDORF DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "OSTENDORF",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "218-290-1870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "2012015664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MY PROVIDER NPI",
            "identifier": "1841546371",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Stewartsville, MO
• Providers in Stewartsville, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.