Staley Dental Arts, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

STALEY DENTAL ARTS, LLC

Practice address

506 NE 107TH Street
Kansas City, MO 64155

Phone

(816) 605-0034

Fax

(816) 817-1181

NPI assigned

Aug 20, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Natalie Joy Mendenhall, DDS

Title

Owner

Phone

(816) 605-0034

Specialties & licenses 1

Addresses

Practitioners 2

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

• Natalie Joy Jensen, D.D.S.

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1356545891
  NPD (past)
• Eden Marie Fitzgibbons, DDS

  • General Practice Dentistry
  • Toledo, OH
  • NPI 1386322097
  NPD (past)

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1366875718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 NE 107TH STREET",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64155",
            "telephone_number": "816-605-0034",
            "fax_number": "816-817-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 NE 107TH STREET",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64155",
            "telephone_number": "816-605-0034",
            "fax_number": "816-817-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STALEY DENTAL ARTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "MENDENHALL",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-605-0034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Stahl, MD
• Sandra Stahl
• Zachary Stahl, LMSW
• Alec Stahly, ATC
• Krista Sue Stalcup, OTR
• Angela Renee Staley, PTA
• Hannah Stallard, DPT, PT
• Chelsea Stallings
• Misty Stambach, PA-C
• Jessica Stamey, AUD

• General Practice Dentistry in Kansas City, MO
• Providers in Kansas City, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.