Individual provider Active NPI

William Franklin Mollenhour Jr., DDS

  • General Practice Dentistry
  • Garden City, MO
National Provider Identifier
1871513440
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
013500 Issued in MO
Practice address
101-A Old Hwy 7
Garden City, MO 64747
Phone
(816) 862-8300
Fax
(816) 773-8885
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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 013500 MO Primary

Addresses

Primary practice location

101-A Old Hwy 7
Garden City, MO 64747

Mailing address

PO Box 398
Garden City, MO 64747-0398
Phone (816) 862-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
013500MOMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1871513440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "GARDEN CITY",
            "state": "MO",
            "postal_code": "647470398",
            "telephone_number": "816-862-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101-A OLD HWY 7",
            "city": "GARDEN CITY",
            "state": "MO",
            "postal_code": "64747",
            "telephone_number": "816-862-8300",
            "fax_number": "816-773-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLENHOUR",
        "first_name": "WILLIAM",
        "middle_name": "FRANKLIN",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "013500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.