Como Pediatric Dentistry LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2015018293 Issued in MO

Legal business name

COMO PEDIATRIC DENTISTRY LLC

Practice address

1316 Old 63 S Ste 201
Columbia, MO 65201-6092

Phone

(573) 443-2544

NPI assigned

Sep 25, 2017

Last updated

Jul 21, 2022By 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. Christina L Gardner, DDSNPI 1306204862

Title

Owner/Pediatric Dentist

Phone

(573) 443-2544

Specialties & licenses 1

Addresses

Locations

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.

• Christina Lynn Gardner, D.D.S.

  • Dentist
  • Columbia, MO
  • NPI 1306204862
  NPD (past) Authorized official
• John Allen Gardner, DDS

  • Pediatric Dentistry
  • Columbia, MO
  • NPI 1215083696
  NPD (past)

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437668126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 OLD 63 S STE 201",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016092",
            "telephone_number": "573-443-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 OLD 63 S STE 201",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016092",
            "telephone_number": "573-443-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMO PEDIATRIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "573-443-2544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MO",
            "license": "2015018293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Hospices of America, LLC (Hospice Compassus)
• Como Compounding LLC
• Como Cubs Pediatrics
• Como Dental Associates LLC (Dentistry By Design)
• Como Lab Services, L.L.C.
• Compass Chiropractic and Wellness LLC
• Compass Health, Inc
• Compass Health, Inc (Family Dental Center at Worley)
• Compass Health, Inc
• Compass Health, Inc

• Pediatric Dentistry in Columbia, MO
• Providers in Columbia, MO by specialty
• Pediatric Dentistry in Missouri

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