Hormozdi D.D.S. Denture Clinic, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2012015475 Issued in MO

Legal business name

HORMOZDI D.D.S. DENTURE CLINIC, PC

Practice address

5950 N Oak Trfy Ste 101
Gladstone, MO 64118-5164

Phone

(816) 298-0090

NPI assigned

Jan 17, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Tyrena L. Bell

Title

Office Manager

Phone

(816) 298-0090

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1235647850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 N OAK TRFY STE 101",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641185164",
            "telephone_number": "816-298-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 N OAK TRFY STE 101",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641185164",
            "telephone_number": "816-298-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORMOZDI D.D.S. DENTURE CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "TYRENA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "816-298-0090",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "2012015475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1871853853",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Herrmann
• Thomas Chad Hewitt, D.P.M.
• His Glory LLC
• Les L Holmes, DDS
• Hometown Medical LLC
• Hormoz Hormozdi
• Susan Howard-Perry, PSYD, LPC
• Hy-Vee Inc (Hy-Vee Pharmacy (1219))
• Laura Kay Hyland, FNP-C
• Frank J Infranca, D.C.

• Dental Clinic/Center in Gladstone, MO
• Providers in Gladstone, 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 Jan 17, 2018; 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.