Smiles Dentistry for Kids, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

60447 Issued in KS

Legal business name

SMILES DENTISTRY FOR KIDS, LLC

Practice address

14700 Metcalf Ave Ste 110
Overland Park, KS 66223-2204

Phone

(913) 685-9990

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

Matthew W Hillman, DDSNPI 1306965181

Title

Member

Phone

(913) 685-9990

Specialties & licenses 1

Addresses

Other names 1

• Smiles Denitstry, LLC Doing business as

Locations

Practitioners 2

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

• Matthew Hillman, DDS

  • Pediatric Dentistry
  • Overland Park, KS
  • NPI 1306965181
  NPD (past) Authorized official
• Tara Craven, DDS

  • Pediatric Dentistry
  • Overland Park, KS
  • NPI 1457943995
  NPD (past)

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1609076694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14700 METCALF AVE STE 110",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232204",
            "telephone_number": "913-685-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 METCALF AVE STE 110",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232204",
            "telephone_number": "913-685-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES DENTISTRY FOR KIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "HILLMAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "913-685-9990",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KS",
            "license": "60447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles Denitstry, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• SLPT, LLC
• Philip Mateo Small, LPC
• Smalling Vascular Institute, LLC
• Smart Steps LLC
• Smile Avenue Dentistry
• Jamie L Smiley, DDS
• Traci Smiley
• Smith Health Consultants LLC
• Max D Smith Jr., D.D.S
• Aaron Smith, PA

• Pediatric Dentistry in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Pediatric Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.