Organization Active NPI

Heartland Family Dentistry Inc

  • General Practice Dentistry
  • Kansas City, MO
National Provider Identifier
1063517290
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
015729 Issued in MO
Legal business name
HEARTLAND FAMILY DENTISTRY INC
Practice address
8355 N Congress Ave
Kansas City, MO 64152-2041
Phone
(816) 587-9500
Fax
(816) 587-9501
NPI assigned
Sep 13, 2006
Last updated
Dec 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Authorized official

Name
Dr. Scott M Nguyen, DDSNPI 1447355680
Title
Dentist/President
Phone
(816) 587-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 015729 MO Primary

Addresses

Primary practice location

8355 N Congress Ave
Kansas City, MO 64152-2041

Mailing address

8355 N Congress Ave
Kansas City, MO 64152-2041
Phone (816) 587-9500

National Provider Directory

National Provider Directory

Locations

8355 N Congress Ave
Kansas City, MO 64152
Phone (816) 587-9500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1063517290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8355 N CONGRESS AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641522041",
            "telephone_number": "816-587-9500",
            "fax_number": "816-587-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8355 N CONGRESS AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641522041",
            "telephone_number": "816-587-9500",
            "fax_number": "816-587-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND FAMILY DENTISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "816-587-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "015729",
            "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 Dec 17, 2020; 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.