Individual provider Active NPI

Christopher Michael Ostendorf, D.D.S.

  • General Practice Dentistry
  • Saint Joseph, MO
National Provider Identifier
1841546371
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2012015664 Issued in MO
Practice address
3815 Beck Rd
Saint Joseph, MO 64506-4944
Phone
(816) 232-5515
Fax
(816) 232-7819
NPI assigned
Aug 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2012015664 MO Primary

Addresses

Primary practice location

3815 Beck Rd
Saint Joseph, MO 64506-4944

Mailing address

3815 Beck Rd
Saint Joseph, MO 64506-4944
Phone (816) 232-5515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160329000217 MO Order and Referring Only - DentistPractitioner - Dentist 8426355900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1841546371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 BECK RD",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645064944",
            "telephone_number": "816-232-5515",
            "fax_number": "816-232-7819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 BECK RD",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645064944",
            "telephone_number": "816-232-5515",
            "fax_number": "816-232-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTENDORF",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2012015664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.