Active NPI
Comfort Dental Care, LLC
- Dental Clinic/Center
- Kansas City, MO
National Provider Identifier
1700920121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 016135
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diana Tabakh, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Kansas City, MO
- NPI 1063556488
-
- General Practice Dentistry
- Cut Off, LA
- NPI 1922617752
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.