Dental Depot of Blue Springs PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTAL DEPOT OF BLUE SPRINGS PLLC

Practice address

1500 S 7 Hwy
Blue Springs, MO 64014-3943

Phone

(816) 295-7927

Fax

(816) 874-6812

NPI assigned

Aug 13, 2020

Organization subpart

No

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

Authorized official

Name

Gaylon Zissa

Title

Professional Relations Manager

Phone

(405) 945-8941

Specialties & licenses 1

Addresses

Other names 1

• Dental Depot of Blue Springs PLLC Doing business as

Electronic endpoints 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amit Patel, DDS

  • Dentist
  • Blue Springs, MO
  • NPI 1639545080
  NPD

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1164033122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 NW 30TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127404",
            "telephone_number": "816-295-7927",
            "fax_number": "816-874-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S 7 HWY",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640143943",
            "telephone_number": "816-295-7927",
            "fax_number": "816-874-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL DEPOT OF BLUE SPRINGS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "ZISSA",
        "authorized_official_first_name": "GAYLON",
        "authorized_official_title_or_position": "PROFESSIONAL RELATIONS MANAGER",
        "authorized_official_telephone_number": "405-945-8941"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dentaldepot.net",
            "affiliation": "N",
            "address_1": "1500 S 7 Hwy",
            "city": "Blue Springs",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640143943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gzissa@dentaldepot.net",
            "affiliation": "N",
            "address_1": "1500 S 7 Hwy",
            "city": "Blue Springs",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640143943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dental Depot of Blue Springs PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Depot of Blue Springs PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renu Debroy, M.D.
• Kelly R Deems, DC
• Vincent Demarco, DO
• Dennis L Demskey, D.D.S.
• Kara Laney Dennell, PTA
• Ameet Deshmukh, MD
• Dea Sun Deuser, PHARM. D.
• Sadonna Devaney, MASTER'S DEGREE
• David W Dickerson, MD
• Dickson Diveley Midwest Orthopaedic Clinic LLC

• Dental Clinic/Center in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.