Christopher F Wick, DDS & Michael C Journee, DDS, PC

Primary specialty

DentistTaxonomy code 122300000X

License

2004015365 Issued in MO

Legal business name

CHRISTOPHER F WICK, DDS & MICHAEL C JOURNEE, DDS, PC

Practice address

4910 NE 81St St
Suite a
Kansas City, MO 64119-8400

Phone

(816) 420-9070

Fax

(816) 420-9052

NPI assigned

Mar 20, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Christopher F Wick, DDS

Title

President

Phone

(816) 420-9070

Specialties & licenses 1

Addresses

Other names 1

• Shoal Valley Dental Doing business as

Locations

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1538401237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 NE 81ST ST",
            "address_2": "SUITE A",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641198400",
            "telephone_number": "816-420-9070",
            "fax_number": "816-420-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 NE 81ST ST",
            "address_2": "SUITE A",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641198400",
            "telephone_number": "816-420-9070",
            "fax_number": "816-420-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER F WICK, DDS & MICHAEL C JOURNEE, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "WICK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-420-9070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "2004015365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoal Valley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Ray Christian, M.D.
• Edward Berner Christiansen, M.D.
• Sarah Christich
• Kerry Sue Christifano, M.A.
• Shelby Lynn Christo
• Christopher T. Lippold, DDS, LLC
• Patrick Dumba Christopher, DDS
• Shelby Christopherson
• Angela Chu
• Justin Chu

• Dentist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.