Organization Active NPI

Eg Dental

  • General Practice Dentistry
  • Kansas City, MO
National Provider Identifier
1114174752
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2007016116 Issued in MO
Legal business name
EG DENTAL
Practice address
5815 NW Barry Rd
Kansas City, MO 64154-1494
Phone
(816) 741-2333
Fax
(816) 741-3888
NPI assigned
Aug 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Authorized official

Name
Gerald Brent Evers, DDS
Title
Owner
Phone
(816) 741-2333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2007016116 MO Primary

Addresses

Primary practice location

5815 NW Barry Rd
Kansas City, MO 64154-1494

Mailing address

5815 NW Barry Rd
Kansas City, MO 64154-1494
Phone (816) 741-2333

Other names 1

  • Evers Dental Former legal business name

National Provider Directory

National Provider Directory

Locations

5815 NW Barry Rd
Kansas City, MO 64154
Phone (816) 741-2333

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": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1114174752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 NW BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541494",
            "telephone_number": "816-741-2333",
            "fax_number": "816-741-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 NW BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541494",
            "telephone_number": "816-741-2333",
            "fax_number": "816-741-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EG DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "EVERS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-741-2333",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2007016116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evers Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 26, 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.