NPIMap

Organization Active NPI

Social Welfare Board of the County of Buchanan

  • Dental Clinic/Center
  • Saint Joseph, MO
National Provider Identifier
1699411595
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SOCIAL WELFARE BOARD OF THE COUNTY OF BUCHANAN
Practice address
904 S 10TH St Ste a
Saint Joseph, MO 64503-2400
Phone
(816) 233-5189
Fax
(816) 344-5247
NPI assigned
May 12, 2022
Organization subpart
Yes
Parent organization
SOCIAL WELFARE BOARD OF THE COUNTY OF BUCHANANAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Linda Carmel Judah
Title
Executive Director
Phone
(816) 344-5201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

904 S 10TH St Ste a
Saint Joseph, MO 64503-2400

Mailing address

904 S 10TH St Ste a
Saint Joseph, MO 64503-2400
Phone (816) 233-5189

Other identifiers 1

IdentifierTypeStateIssuer
1497024145MedicaidMO

Other names 1

  • Social Welfare Board Dental of Buchanan County Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Social Welfare Board of3 organizations share this tax ID, including this one
Part of
Social Welfare Board of

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

904 S 10th St
Ste A
Saint Joseph, MO 64503
Phone (816) 233-5188

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

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": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1699411595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 S 10TH ST STE A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645032400",
            "telephone_number": "816-233-5189",
            "fax_number": "816-344-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 S 10TH ST STE A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645032400",
            "telephone_number": "816-233-5189",
            "fax_number": "816-344-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL WELFARE BOARD OF THE COUNTY OF BUCHANAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOCIAL WELFARE BOARD OF THE COUNTY OF BUCHANAN",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "JUDAH",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "CARMEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "816-344-5201"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497024145",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Social Welfare Board Dental of Buchanan County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.