Cosmetic and Implant Dentistry of Westport

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

COSMETIC AND IMPLANT DENTISTRY OF WESTPORT

Practice address

638 W 39TH St
Kansas City, MO 64111-2910

Phone

(816) 388-0985

NPI assigned

Aug 8, 2023

Last updated

Aug 8, 2023By 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

Tate Andrews

Title

Cfo

Phone

(816) 388-0985

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1649953613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 W 39TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112910",
            "telephone_number": "816-388-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 W 39TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112910",
            "telephone_number": "816-388-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC AND IMPLANT DENTISTRY OF WESTPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "TATE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "816-388-0985"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan M Corrigan, ANP
• Cosentino Enterprises Inc (Sun Fresh Pharmacy)
• Cosentino Group Inc (Sun Fresh Pharmacy #448)
• Cosentino Group Inc (Price Chopper Pharmacy #288)
• Cosmetic and Implant Dentistry of Kansas City
• David Arthur Cosner, D.C.
• Furha Cossor, MD
• Juliana Costa de Oliveira, MD
• Jessica N Costalez, MD
• Costco Wholesale Corporation (Costco Pharmacy #1268)

• Dental Clinic/Center in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.