Organization Active NPI

Harmony Pediatric Smiles, LLC

  • Dentist
  • Kansas City, MO
National Provider Identifier
1164876975
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
015874 Issued in MO
Legal business name
HARMONY PEDIATRIC SMILES, LLC
Practice address
19 E Gregory Blvd
Kansas City, MO 64114-1117
Phone
(816) 444-2483
NPI assigned
Apr 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Authorized official

Name
Dr. Clarence E. Simmons, D.D.S.
Title
Owner
Phone
(816) 444-2483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 015874 MO Primary

Addresses

Primary practice location

19 E Gregory Blvd
Kansas City, MO 64114-1117

Mailing address

19 E Gregory Blvd
Kansas City, MO 64114-1117
Phone (816) 444-2483

National Provider Directory

National Provider Directory

Locations

19 E Gregory Blvd
Kansas City, MO 64114
Phone (573) 201-9262

Practitioners & affiliated clinicians

Practitioners 1

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": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1164876975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E GREGORY BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641141117",
            "telephone_number": "816-444-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E GREGORY BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641141117",
            "telephone_number": "816-444-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY PEDIATRIC SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-444-2483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "015874",
            "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 Apr 18, 2016; 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.