Priority Dental Clinic

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2004000867 Issued in MO

Legal business name

PRIORITY DENTAL CLINIC

Practice address

16900 E US Highway 24
Independence, MO 64056-1569

Phone

(816) 257-3720

Fax

(816) 257-7164

NPI assigned

Sep 16, 2008

Last updated

Sep 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kyong-a Kong, DDS

Title

Owner/Dentist

Phone

(816) 257-3720

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Eugene Gottman, DDS

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1891722252
  NPD (past)

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1396994216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16900 E US HIGHWAY 24",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640561569",
            "telephone_number": "816-257-3720",
            "fax_number": "816-257-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16900 E US HIGHWAY 24",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640561569",
            "telephone_number": "816-257-3720",
            "fax_number": "816-257-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "KONG",
        "authorized_official_first_name": "KYONG-A",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "816-257-3720",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2004000867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Care Center of Kansas City LLC
• Richard G Prine, DDS
• Ashley Rose Pringle, CF-SLP
• Phillip Leon Pringle, LPC
• Stephen Floyd Pringle, M.A., D.MIN.
• Connor James Pritzel, PHARM D
• Private Healthcare Facilities
• Dawn Lara Privett, RD
• Promising Heights, Corp
• Prompt Medical Clinic Inc (Mid-America Internal Medicine)

• General Practice Dentistry in Independence, MO
• Providers in Independence, 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 Sep 16, 2008; 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.