Organization Active NPI

Comfort Dental Care, LLC

  • Dental Clinic/Center
  • Kansas City, MO
National Provider Identifier
1700920121
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
016135 Issued in MO
Legal business name
COMFORT DENTAL CARE, LLC
Practice address
12927 State Line Rd
Kansas City, MO 64145-1238
Phone
(816) 942-7669
Fax
(816) 942-7808
NPI assigned
Feb 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Diana Tabakh, DDSNPI 1063556488
Title
Dentist
Phone
(816) 942-7669

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
Dental Clinic/Center 261QD0000X 016135 MO Primary

Addresses

Primary practice location

12927 State Line Rd
Kansas City, MO 64145-1238

Mailing address

12927 State Line Rd
Kansas City, MO 64145-1238
Phone (816) 942-7669

National Provider Directory

National Provider Directory

Locations

12927 State Line Rd
Kansas City, MO 64145
Phone (816) 942-7669

Practitioners & affiliated clinicians

Practitioners 2

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": "1171756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700920121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12927 STATE LINE RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451238",
            "telephone_number": "816-942-7669",
            "fax_number": "816-942-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12927 STATE LINE RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451238",
            "telephone_number": "816-942-7669",
            "fax_number": "816-942-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TABAKH",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "816-942-7669",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "016135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 22, 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.