Organization Active NPI

Jacob a Laudie DDS LLC

  • Dentist
  • Lee's Summit, MO
National Provider Identifier
1215198247
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2006014154 Issued in MO
Legal business name
JACOB A LAUDIE DDS LLC
Practice address
622 SW 3Rd St
Suite M
Lees Summit, MO 64063-2280
Phone
(816) 524-3535
Fax
(816) 524-3530
NPI assigned
Jun 23, 2008
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Jacob A Laudie, DDS
Title
Owner
Phone
(816) 524-3535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2006014154 MO Primary

Addresses

Primary practice location

622 SW 3Rd St
Suite M
Lees Summit, MO 64063-2280

Mailing address

622 SW 3Rd St
Suite M
Lees Summit, MO 64063-2280
Phone (816) 524-3535

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1215198247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 SW 3RD ST",
            "address_2": "SUITE M",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632280",
            "telephone_number": "816-524-3535",
            "fax_number": "816-524-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 SW 3RD ST",
            "address_2": "SUITE M",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632280",
            "telephone_number": "816-524-3535",
            "fax_number": "816-524-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB A LAUDIE DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "LAUDIE",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-524-3535",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "2006014154",
            "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 23, 2008; 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.