Organization Active NPI

WH Ar Dental PLLC

  • Dentist
  • Gladstone, MO
National Provider Identifier
1407633852
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WH AR DENTAL PLLC
Practice address
7209 N Prospect Avenue
Gladstone, MO 64119
Phone
(479) 258-2080
NPI assigned
Sep 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Richard Henry
Title
Enrollment Manager
Phone
(479) 258-2080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

7209 N Prospect Avenue
Gladstone, MO 64119

Mailing address

702 SW 8TH St # Ms 0445
Bentonville, AR 72716-6209
Phone (479) 258-2080

Other practice location 1

10302 E Highway 350
Raytown, MO 64138
Phone (479) 258-2080

Other practice location 2

11601 E US Highway 40 Ste 100
Kansas City, MO 64133-1908
Phone (479) 258-2080

Other practice location 3

1701 W 133rd St Ste 100
Kansas City, MO 64145-1631
Phone (816) 772-1285

Other names 1

  • Walmart Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Walmart Health4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7209 N Prospect Ave
Gladstone, MO 64119
Phone (816) 429-1396

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1407633852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SW 8TH ST # MS 0445",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727166209",
            "telephone_number": "479-258-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7209 N PROSPECT AVENUE",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "64119",
            "telephone_number": "479-258-2080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10302 E Highway 350",
            "address_purpose": "LOCATION",
            "city": "Raytown",
            "state": "MO",
            "postal_code": "64138",
            "country_code": "US",
            "telephone_number": "479-258-2080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11601 E US Highway 40 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641331908",
            "country_code": "US",
            "telephone_number": "479-258-2080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 W 133rd St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641451631",
            "country_code": "US",
            "telephone_number": "816-772-1285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WH AR DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "479-258-2080"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walmart Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Walmart Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gladstone, MO

Sources for this page

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

Verify at the official NPI Registry.