Towne Dental of Oak Grove LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

12760 Issued in MO

Legal business name

TOWNE DENTAL OF OAK GROVE LLC

Practice address

1206 S Broadway
Oak Grove, MO 64075-9100

Phone

(816) 690-4141

NPI assigned

Jan 5, 2010

Last updated

Jan 5, 2010By 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

Deborah L Wolff

Title

Co Owner

Phone

(816) 214-6755

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Charles Steven Wolff, DDS

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1730323577
  NPD (past)

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1578893137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4935 BLUE RIDGE BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641332550",
            "telephone_number": "816-214-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 S BROADWAY",
            "city": "OAK GROVE",
            "state": "MO",
            "postal_code": "640759100",
            "telephone_number": "816-690-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNE DENTAL OF OAK GROVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "816-214-6755"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MO",
            "license": "12760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Sommers, PT, DPT, LAT, ATC
• Lynn Ellen Spare, PTA
• Stiles Chiropractic P.C.
• Julie Anne Switzer, SLP
• Emily Renee Towers, PT, DPT
• Arissa Ann Twente, RT(R)(M)(CT)
• Jessica Lynn Vanderklei, DC
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2856)
• Wal-Mart Stores East, LP (Vision Center 30-2856)
• Walgreen Co (Walgreens #11925)

• Preferred Provider Organization in Oak Grove, MO
• Providers in Oak Grove, MO by specialty
• Preferred Provider Organization in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.