Organization Active NPI

Advanced Dental Arts, LLC

  • General Practice Dentistry
  • Kansas City, MO
National Provider Identifier
1578850319
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2007017280 Issued in MO
Legal business name
ADVANCED DENTAL ARTS, LLC
Practice address
4444 N Belleview Ave
Suite #202
Kansas City, MO 64116-1507
Phone
(816) 452-1888
Fax
(816) 455-2578
NPI assigned
Jun 30, 2011
Last updated
Jun 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Authorized official

Name
Dr. Geoffrey Clark Riley, D.D.S.NPI 1134371024
Title
Owner
Phone
(816) 332-2412

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2007017280 MO Primary

Addresses

Primary practice location

4444 N Belleview Ave
Suite #202
Kansas City, MO 64116-1507

Mailing address

4444 N Belleview Ave
Suite #202
Kansas City, MO 64116-1507
Phone (816) 452-1888

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1578850319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 N BELLEVIEW AVE",
            "address_2": "SUITE #202",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641161507",
            "telephone_number": "816-452-1888",
            "fax_number": "816-455-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 N BELLEVIEW AVE",
            "address_2": "SUITE #202",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641161507",
            "telephone_number": "816-452-1888",
            "fax_number": "816-455-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL ARTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-332-2412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2007017280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.