Organization Active NPI

Summit Lakes Dental Care, L.L.C.

Doing business as Summit Lakes Dental Care

  • General Practice Dentistry
  • Lee's Summit, MO
National Provider Identifier
1356750137
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SUMMIT LAKES DENTAL CARE, L.L.C.
Doing business as
Summit Lakes Dental Care
Practice address
3741 SW Raintree Dr
Lees Summit, MO 64082-4606
Phone
(816) 875-3339
NPI assigned
Aug 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Authorized official

Name
Dr. Suzanne Grace Beck, D.D.S.
Title
Member
Phone
(816) 806-4001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3741 SW Raintree Dr
Lees Summit, MO 64082-4606

Mailing address

3741 SW Raintree Dr
Lees Summit, MO 64082-4606
Phone (816) 875-3339

Other names 1

  • Summit Lakes Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

3741 SW Raintree Dr
Lees Summit, MO 64082
Phone (816) 875-3339

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1356750137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3741 SW RAINTREE DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824606",
            "telephone_number": "816-875-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3741 SW RAINTREE DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824606",
            "telephone_number": "816-875-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT LAKES DENTAL CARE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "816-806-4001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Lakes Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 6, 2014; 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.