Pearly Whites Dental Care, L.L.C.

Primary specialty

DentistTaxonomy code 122300000X

License

60131 Issued in KS

Legal business name

PEARLY WHITES DENTAL CARE, L.L.C.

Practice address

2300 Hutton Rd Ste 102
Kansas City, KS 66109-4424

Phone

(913) 721-3525

Fax

(913) 721-3627

NPI assigned

Oct 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Caryn J Baker, D.D.S.

Title

Dentist/Owner

Phone

(913) 721-3525

Specialties & licenses 1

Addresses

Practitioners 1

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

• Caryn Joy Ehrenberger, D.D.S.

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1689687741
  NPD (past)

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1417209032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HUTTON RD STE 102",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661094424",
            "telephone_number": "913-721-3525",
            "fax_number": "913-721-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HUTTON RD STE 102",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661094424",
            "telephone_number": "913-721-3525",
            "fax_number": "913-721-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLY WHITES DENTAL CARE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "CARYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "913-721-3525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "60131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Payne, DO
• Payne, Hogan & Associates
• Peyton Renee Peaches, OTR/L
• Elspeth Kathleen Pearce, MD
• Gwendolyn R Pearl, OTR
• Anjelica D Pearson
• Jenelle Pearson, NP
• Jenny Kaye Pearson, ANP
• Christy Pease
• Rachel Pellegrino, DO, MBA, MS

• Dentist in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.