Twin Creeks Family Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TWIN CREEKS FAMILY DENTISTRY LLC

Practice address

10560 N Ambassador Dr Ste 200
Kansas City, MO 64153-1591

Phone

(816) 891-8091

Fax

(816) 891-9343

NPI assigned

Aug 10, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Thomas Garrison, DDS

Title

Managing Partner

Phone

(816) 868-6269

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Anisha Patel, D.D.S.

  • Dentist
  • Kansas City, MO
  • NPI 1093191223
  NPD (past)

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1184235517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10560 N AMBASSADOR DR STE 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641531591",
            "telephone_number": "816-891-8091",
            "fax_number": "816-891-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10560 N AMBASSADOR DR STE 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641531591",
            "telephone_number": "816-891-8091",
            "fax_number": "816-891-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CREEKS FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "816-868-6269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tcfdllc@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10560 N Ambassador Dr Ste 200",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641531591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leah Emma Twibell
• Hailey Jean Twietmeyer, LMSW
• Twila Jones Moore Consulting LLC
• Matthew R Twillman, DO
• Robert Keith Twillman, PHD
• Twin Creeks FD, LLC
• Michelle Gravlin Twitty, PHARM.D., BCPP
• Two Rivers Psychiatric Hospital Inc
• Laura Louise Tyler
• Mia Tyler, PA-C

• Dental Clinic/Center in Kansas City, MO
• Providers in Kansas City, 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 Aug 10, 2020; 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.