NPIMap

Organization Active NPI

Tinsley & Shultz DDS PC

  • General Practice Dentistry
  • Liberty, MO
National Provider Identifier
1790899102
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
014869 Issued in MO
Legal business name
TINSLEY & SHULTZ DDS PC
Practice address
2 Westwoods Dr
Liberty, MO 64068-3519
Phone
(816) 781-1430
Fax
(816) 781-7895
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Ms. Cynthia Shepherd
Title
Office Administrator
Phone
(816) 781-1430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 014869 MO Primary

Addresses

Primary practice location

2 Westwoods Dr
Liberty, MO 64068-3519

Mailing address

2 Westwoods Dr
Liberty, MO 64068-3519
Phone (816) 781-1430

National Provider Directory

National Provider Directory

Locations

2 Westwoods Dr
Liberty, MO 64068
Phone (816) 753-3737

Practitioners & affiliated clinicians

Practitioners 4

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": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1790899102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WESTWOODS DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683519",
            "telephone_number": "816-781-1430",
            "fax_number": "816-781-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WESTWOODS DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683519",
            "telephone_number": "816-781-1430",
            "fax_number": "816-781-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINSLEY & SHULTZ DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "816-781-1430",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "014869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.