Active NPI
Samuel Jon Cole
- Dentist
- Sedalia, MO
National Provider Identifier
1942147459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2026024996
- Practice address
- 991 Winchester Dr Ste 1
Sedalia, MO 65301-2575 - Phone
- (660) 200-8054
- NPI assigned
- May 1, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2026024996 | MO | Primary |
Addresses
Primary practice location
991 Winchester Dr Ste 1
Sedalia, MO 65301-2575
Mailing address
991 Winchester Dr Ste 1
Sedalia, MO 65301-2575
Phone (308) 746-4034
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1942147459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "991 WINCHESTER DR STE 1",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653012575",
"telephone_number": "308-746-4034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "991 WINCHESTER DR STE 1",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653012575",
"telephone_number": "660-200-8054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "SAMUEL",
"middle_name": "JON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-01",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2026024996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sedalia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.