Organization Active NPI

Moreno Family Dentistry

  • Dentist
  • Kansas City, KS
National Provider Identifier
1023277431
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MORENO FAMILY DENTISTRY
Practice address
753 State Ave
Ste 375
Kansas City, KS 66101-2516
Phone
(913) 647-1900
Fax
(913) 647-1901
NPI assigned
Jun 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Jolene L Bivens
Title
Office Manager
Phone
(913) 647-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

753 State Ave
Ste 375
Kansas City, KS 66101-2516

Mailing address

753 State Ave
Ste 375
Kansas City, KS 66101-2516
Phone (913) 647-1900

National Provider Directory

National Provider Directory

Locations

753 State Ave
Ste 375
Kansas City, KS 66101
Phone (913) 647-1900

Practitioners & affiliated clinicians

Practitioners 2

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": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1023277431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 STATE AVE",
            "address_2": "STE 375",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661012516",
            "telephone_number": "913-647-1900",
            "fax_number": "913-647-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 STATE AVE",
            "address_2": "STE 375",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661012516",
            "telephone_number": "913-647-1900",
            "fax_number": "913-647-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORENO FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "BIVENS",
        "authorized_official_first_name": "JOLENE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "913-647-1900"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.