Organization Active NPI

Smile Solutions of Kansas LLC

  • General Practice Dentistry
  • Pittsburg, KS
National Provider Identifier
1194531327
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMILE SOLUTIONS OF KANSAS LLC
Practice address
611 N Broadway St Ste B
Pittsburg, KS 66762-3928
Phone
(423) 707-5766
NPI assigned
Dec 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Dr. Krishna Gorantla, DDSNPI 1336521004
Title
Managing Clinical Director
Phone
(423) 707-5766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

611 N Broadway St Ste B
Pittsburg, KS 66762-3928

Mailing address

611 N Broadway St Ste B
Pittsburg, KS 66762-3928
Phone (423) 707-5766

Other names 1

  • Smile Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

611 N Broadway St
Ste B
Pittsburg, KS 66762
Phone (423) 707-5766

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": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1194531327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N BROADWAY ST STE B",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667623928",
            "telephone_number": "423-707-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N BROADWAY ST STE B",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667623928",
            "telephone_number": "423-707-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE SOLUTIONS OF KANSAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "GORANTLA",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_title_or_position": "MANAGING CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "423-707-5766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smile Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburg, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.