Organization Active NPI

Blue Springs Dental, LLC

Doing business as Blue Springs Dental

  • Dental Clinic/Center
  • Blue Springs, MO
National Provider Identifier
1184108672
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BLUE SPRINGS DENTAL, LLC
Doing business as
Blue Springs Dental
Practice address
1229 S 7 Hwy
Blue Springs, MO 64014-3539
Phone
(816) 792-8030
NPI assigned
Sep 20, 2018
Last updated
Sep 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Authorized official

Name
Mr. Scot Kessler
Title
Business Manager
Phone
(816) 792-8030

Specialties & licenses 1

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

Addresses

Primary practice location

1229 S 7 Hwy
Blue Springs, MO 64014-3539

Mailing address

200 N Forest Ave
Liberty, MO 64068-1070
Phone (816) 792-8030

Other names 1

  • Blue Springs Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1229 SW State Route 7
Blue Springs, MO 64014
Phone (816) 792-8030

200 N Forest Ave
Liberty, MO 64068
Phone (816) 792-8030

NPI Registry JSON

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1184108672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N FOREST AVE",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681070",
            "telephone_number": "816-792-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 S 7 HWY",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640143539",
            "telephone_number": "816-792-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SPRINGS DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "KESSLER",
        "authorized_official_first_name": "SCOT",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "816-792-8030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Springs Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.