Organization Active NPI

Barry Village Family Dental LLC

  • Dental Clinic/Center
  • Kansas City, MO
National Provider Identifier
1124526090
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BARRY VILLAGE FAMILY DENTAL LLC
Doing business as
Dental Smile Makers
Practice address
5 NW Barry Rd
Kansas City, MO 64155-2728
Phone
(816) 436-8949
NPI assigned
Jan 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Bryan Pace
Title
Business Manager
Phone
(801) 455-5896

Specialties & licenses 1

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

Addresses

Primary practice location

5 NW Barry Rd
Kansas City, MO 64155-2728

Mailing address

5 NW Barry Rd
Kansas City, MO 64155-2728

Other names 1

  • Dental Smile Makers Doing business as

National Provider Directory

National Provider Directory

Locations

5 NW Barry Rd
Kansas City, MO 64155
Phone (816) 436-5949

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1124526090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 NW BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 NW BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552728",
            "telephone_number": "816-436-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY VILLAGE FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "801-455-5896"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Smile Makers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 25, 2018; 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.