Waldo Dental Care

Primary specialty

DentistTaxonomy code 122300000X

License

2008019818 Issued in MO

Legal business name

WALDO DENTAL CARE

Practice address

8043 Wornall Rd
Ste. 201
Kansas City, MO 64114-5819

Phone

(816) 333-2500

NPI assigned

Nov 28, 2016

Last updated

Nov 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shayna Bahr, DMD

Title

Manager

Phone

(303) 524-4501

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1932642741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 FARLEY ST",
            "address_2": "STE. 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8043 WORNALL RD",
            "address_2": "STE. 201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641145819",
            "telephone_number": "816-333-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDO DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "BAHR",
        "authorized_official_first_name": "SHAYNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-524-4501",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "2008019818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura R Walden-Pollina, DDS
• James Madison Walden Jr., M.D.
• Patricia Walden, RN
• Reynel B Walden, FNP-C
• Judith Waldman, DO
• Waldo Medical LLC
• Waldo Oral Surgery, LLC (Waldo Dental Care)
• Waldo Orthodontics, LLC
• Waldo Pediatric Dentistry (The Smile Spot)
• Waldo Wellness Group PC

• Dentist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.