Children's Dental Zone

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2000175293 Issued in MO

Legal business name

CHILDREN'S DENTAL ZONE

Practice address

13410 New Halls Ferry Rd
Florissant, MO 63033-3035

Phone

(314) 830-9663

Fax

(314) 830-9664

NPI assigned

Jun 27, 2011

Last updated

Jun 27, 2011By 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

Ms. Candace Therese Wakefield, DMD

Title

Owner

Phone

(314) 830-9663

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Ackeilia K Heatrice, DDS

  • Pediatric Dentistry
  • Ellisville, MO
  • NPI 1609003060
  NPD (past)
• Latasha Nicole Nash, D.M.D

  • General Practice Dentistry
  • Florissant, MO
  • NPI 1407134455
  NPD (past)

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1700172806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13410 NEW HALLS FERRY RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630333035",
            "telephone_number": "314-830-9663",
            "fax_number": "314-830-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13410 NEW HALLS FERRY RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630333035",
            "telephone_number": "314-830-9663",
            "fax_number": "314-830-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL ZONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "WAKEFIELD",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-830-9663",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "2000175293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salman Iftikhar Chaudhry, MD
• Haobin Chen, MD
• Joni L Chester
• Child Center - Marygrove
• Children in Action Learning Center Inc
• Teisha Childres
• Tyrishia Childs
• Getrude Chimhungwe, PHARMD
• Chiropractic of Florissant Valley LLC
• Chiropractic Specialist,LLC

• Dental Clinic/Center in Florissant, MO
• Providers in Florissant, 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 Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.