John W Huddart DDS LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2001014206 Issued in MO

Legal business name

JOHN W HUDDART DDS LLC

Doing business as

Lathrop Dental Care

Practice address

611 Oak St
Lathrop, MO 64465-9737

Phone

(816) 740-4294

Fax

(816) 528-4295

NPI assigned

Sep 15, 2011

Last updated

Sep 15, 2011By 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

John W Huddart, DDSNPI 1295838472

Title

Owner

Phone

(816) 740-4294

Specialties & licenses 1

Addresses

Other names 1

• Lathrop Dental Care Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

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.

• John W Huddart, DDS

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1295838472
  NPD (past) Authorized official

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1508148545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 OAK ST",
            "address_2": "P.O. BOX 79",
            "city": "LATHROP",
            "state": "MO",
            "postal_code": "644659737",
            "telephone_number": "816-740-4294",
            "fax_number": "816-528-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 OAK ST",
            "city": "LATHROP",
            "state": "MO",
            "postal_code": "644659737",
            "telephone_number": "816-740-4294",
            "fax_number": "816-528-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W HUDDART DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "HUDDART",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-740-4294",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "2001014206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lathrop Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frances Louise Elliott, RN
• Kendra L Gagnon, PT
• Kelli K Hoffman, FNP
• Samantha Elise Hufford, RD
• Lacey Jackson
• Lathrop Chiropractic Center Inc.
• Lathrop R-II School District
• Natalie Loyd
• Elizabeth Ann Pierson-Poe
• Shawn Erlene Prosser, PTA

• Dental Clinic/Center in Lathrop, MO
• Providers in Lathrop, MO by specialty
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.