Active NPI
Dental Specialists Kansas City
- Endodontics
- Kansas City, MO
National Provider Identifier
1245913235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- Legal business name
- DENTAL SPECIALISTS KANSAS CITY
- Practice address
- 638 W 39TH St
Kansas City, MO 64111-2910 - Phone
- (816) 388-0985
- NPI assigned
- Aug 8, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tate Andrews
- Title
- Cfo
- Phone
- (816) 388-0985
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | Primary | ||
| Periodontics | 1223P0300X | |||
| Prosthodontics | 1223P0700X |
Addresses
Primary practice location
638 W 39TH St
Kansas City, MO 64111-2910
Mailing address
638 W 39TH St
Kansas City, MO 64111-2910
Phone (816) 388-0985
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691452800000",
"number": "1245913235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "638 W 39TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641112910",
"telephone_number": "816-388-0985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "638 W 39TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641112910",
"telephone_number": "816-388-0985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL SPECIALISTS KANSAS CITY",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-08",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A",
"authorized_official_last_name": "ANDREWS",
"authorized_official_first_name": "TATE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "816-388-0985"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.