Eric J Runyon DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ERIC J RUNYON DDS LLC

Doing business as

Smiles Unlimited

Practice address

103 Congress St
Belton, MO 64012-2480

Phone

(816) 331-9100

Fax

(816) 331-9133

NPI assigned

Nov 9, 2024

Last updated

Nov 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric James Runyon, DDSNPI 1720340045

Title

Dentist

Phone

(314) 401-3616

Specialties & licenses 1

Addresses

Other names 1

• SMILES UNLIMITED Doing business as

Locations

Practitioners 4

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.

• Eric James Runyon, D.D.S.

  • Dentist
  • Belton, MO
  • NPI 1720340045
  NPD Authorized official
• Kathleen Elizabeth Cooper, D.D.S.

  • Dentist
  • Belton, MO
  • NPI 1538420401
  NPD (past)
• Kevin M McNamara, D.D.S.

  • General Practice Dentistry
  • Belton, MO
  • NPI 1558462226
  NPD (past)
• Tiffany Marie Teegarden, DDS

  • Dentist
  • Blue Springs, MO
  • NPI 1104264266
  NPD (past)

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

{
    "created_epoch": "1731110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731110400000",
    "number": "1093539892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13041 CATALINA DR",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662092386",
            "telephone_number": "314-401-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CONGRESS ST",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122480",
            "telephone_number": "816-331-9100",
            "fax_number": "816-331-9133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13041 Catalina Dr",
            "address_purpose": "LOCATION",
            "city": "Leawood",
            "state": "KS",
            "postal_code": "662092386",
            "country_code": "US",
            "telephone_number": "314-410-3616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ERIC J RUNYON DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-09",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "RUNYON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "314-401-3616",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMILES UNLIMITED",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Belton, MO
• Providers in Belton, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2024; 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.