Organization Active NPI

Overland Park Smiles

  • General Practice Dentistry
  • Overland Park, KS
National Provider Identifier
1194938795
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4882 Issued in KS
Legal business name
OVERLAND PARK SMILES
Practice address
12870 Metcalf Ave
Overland Park, KS 66213-2622
Phone
(913) 851-8400
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Authorized official

Name
Dr. Richard Harold Willits, DDSNPI 1982609236
Title
President
Phone
(913) 851-8400

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4882 KS Primary

Addresses

Primary practice location

12870 Metcalf Ave
Overland Park, KS 66213-2622

Mailing address

12870 Metcalf Ave
Overland Park, KS 66213-2622
Phone (913) 851-8400

Other names 1

  • Willits and Woltkamp DDS, PA Former legal business name

National Provider Directory

National Provider Directory

Locations

12870 Metcalf Ave
Overland Park, KS 66213
Phone (913) 378-1365

Practitioners & affiliated clinicians

Practitioners 2

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1194938795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12870 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132622",
            "telephone_number": "913-851-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12870 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132622",
            "telephone_number": "913-851-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERLAND PARK SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "WILLITS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-851-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "4882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willits and Woltkamp DDS, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.