Organization Active NPI

Cosmetic and Implant Dentistry of Kansas City

  • General Practice Physician
  • Kansas City, MO
National Provider Identifier
1639765803
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
COSMETIC AND IMPLANT DENTISTRY OF KANSAS CITY
Practice address
2101 Charlotte St Ste 330
Kansas City, MO 64108-2764
Phone
(816) 897-4288
NPI assigned
Dec 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Authorized official

Name
Mahdokht A. FarahaniNPI 1942515069
Title
Dentist
Phone
(816) 838-2651

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 PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2101 Charlotte St Ste 330
Kansas City, MO 64108-2764

Mailing address

2101 Charlotte St Ste 330
Kansas City, MO 64108-2764
Phone (816) 897-4288

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.cosmeticimplantdentistrykc.com

National Provider Directory

National Provider Directory

Locations

2101 Charlotte St
Ste 330
Kansas City, MO 64108
Phone (816) 897-4288

Practitioners & affiliated clinicians

Practitioners 3

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": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1639765803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 CHARLOTTE ST STE 330",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082764",
            "telephone_number": "816-897-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CHARLOTTE ST STE 330",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082764",
            "telephone_number": "816-897-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC AND IMPLANT DENTISTRY OF KANSAS CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "FARAHANI",
        "authorized_official_first_name": "MAHDOKHT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "816-838-2651"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.cosmeticimplantdentistrykc.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "2101 Charlotte St Ste 330",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641082764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.