NPIMap

Organization Active NPI

Erin Neill Bromley, DDS

  • Dentist
  • Lee's Summit, MO
National Provider Identifier
1174936488
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
015727 Issued in MO
Legal business name
ERIN NEILL BROMLEY, DDS
Practice address
680 SE Bayberry LN
Suite 105
Lees Summit, MO 64063-4386
Phone
(816) 525-5257
NPI assigned
Jun 4, 2014
Last updated
Jun 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Authorized official

Name
Jessica George
Title
Business Manager
Phone
(816) 525-5257

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2007037234 MO
Dentist 122300000X 015727 MO Primary

Addresses

Primary practice location

680 SE Bayberry LN
Suite 105
Lees Summit, MO 64063-4386

Mailing address

680 SE Bayberry LN
Suite 105
Lees Summit, MO 64063-4386
Phone (816) 525-5257

National Provider Directory

National Provider Directory

Locations

680 SE Bayberry Ln
Ste 105
Lees Summit, MO 64063
Phone (816) 525-5257

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1174936488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 SE BAYBERRY LN",
            "address_2": "SUITE 105",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640634386",
            "telephone_number": "816-525-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 SE BAYBERRY LN",
            "address_2": "SUITE 105",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640634386",
            "telephone_number": "816-525-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIN NEILL BROMLEY, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "816-525-5257"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2007037234",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "015727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.