Smiles of Kansas City

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2077769 Issued in KS

Legal business name

SMILES OF KANSAS CITY

Practice address

10127 Cherry LN
Suite E
Lenexa, KS 66220-9763

Phone

(913) 254-1300

Fax

(913) 254-1511

NPI assigned

Jan 9, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Dawn Laree Berkvam, DDSNPI 1679608145

Title

Dentist/Owner

Phone

(913) 254-1300

Specialties & licenses 1

Addresses

Tax ID family

Smiles of Kansas City2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Smiles of Kansas City Dental Center, P.a.

  • General Practice Dentistry
  • Lenexa, KS
  • NPI 1336420314
  NPD tax ID

Locations

Practitioners 1

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

• Dawn L Berkvam, D.D.S

  • Dentist
  • Kansas City, MO
  • NPI 1679608145
  NPD (past) Authorized official

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1215274352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10127 CHERRY LN",
            "address_2": "SUITE E",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662209763",
            "telephone_number": "913-254-1300",
            "fax_number": "913-254-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10127 CHERRY LN",
            "address_2": "SUITE E",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662209763",
            "telephone_number": "913-254-1300",
            "fax_number": "913-254-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES OF KANSAS CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "BERKVAM",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "LAREE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "913-254-1300",
        "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": "2077769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Slettehaugh
• Christopher Shane Slifer, PHARM.D.
• Gerald Sloan
• SM Corporate Care LLC
• Smart Hearing and Balance of Lenexa, LLC
• Smiles of Kansas City Dental Center, P.a.
• Alissa Ann Smith, N.P
• Allyson Paige Smith
• Amanda Marie Smith
• Ashley Anne Smith, PHARM. D, RPH

• General Practice Dentistry in Lenexa, KS
• Providers in Lenexa, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.