Organization Active NPI

Corinth Dental Care, LLC

  • Dental Clinic/Center
  • Prairie Village, KS
National Provider Identifier
1982926804
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
60394 Issued in KS
Legal business name
CORINTH DENTAL CARE, LLC
Practice address
3700 W 83Rd St
Suite 217
Prairie Village, KS 66208-5120
Phone
(913) 341-9600
Fax
(913) 341-6328
NPI assigned
Feb 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Authorized official

Name
Dr. Tricia Marie Canzonere, DDS
Title
Dentist/Owner
Phone
(913) 341-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 60394 KS Primary

Addresses

Primary practice location

3700 W 83Rd St
Suite 217
Prairie Village, KS 66208-5120

Mailing address

3700 W 83Rd St
Suite 217
Prairie Village, KS 66208-5120
Phone (913) 341-9600

National Provider Directory

National Provider Directory

Locations

3700 W 83rd St
Ste 217
Prairie Village, KS 66208
Phone (913) 333-7550

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1982926804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 W 83RD ST",
            "address_2": "SUITE 217",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662085120",
            "telephone_number": "913-341-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W 83RD ST",
            "address_2": "SUITE 217",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662085120",
            "telephone_number": "913-341-9600",
            "fax_number": "913-341-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORINTH DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "CANZONERE",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "913-341-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KS",
            "license": "60394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.