Organization Active NPI

Westport Plaza Dental Associates

  • Dental Clinic/Center
  • Kansas City, MO
National Provider Identifier
1992903140
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WESTPORT PLAZA DENTAL ASSOCIATES
Practice address
801 W 47TH St
408
Kansas City, MO 64112-1377
Phone
(816) 561-6150
Fax
(816) 561-6738
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Dr. John A Waldron Jr., D.D.S.NPI 1013923895
Title
Dentist
Phone
(816) 561-6150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

801 W 47TH St
408
Kansas City, MO 64112-1377

Mailing address

801 W 47TH St
408
Kansas City, MO 64112-1377
Phone (816) 561-6150

National Provider Directory

National Provider Directory

Locations

801 W 47th St
Ste 408
Kansas City, MO 64112
Phone (816) 561-6150

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1992903140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W 47TH ST",
            "address_2": "408",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121377",
            "telephone_number": "816-561-6150",
            "fax_number": "816-561-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W 47TH ST",
            "address_2": "408",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121377",
            "telephone_number": "816-561-6150",
            "fax_number": "816-561-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTPORT PLAZA DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "WALDRON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "816-561-6150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.