Little Big Smiles, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2010033385 Issued in MO

Legal business name

LITTLE BIG SMILES, LLC

Practice address

9000 E 350
Raytown, MO 64133-5717

Phone

(816) 674-9796

NPI assigned

Nov 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin G Wilson, DDS

Title

Owner/Dentist

Phone

(970) 901-9865

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Sierra Wilson, DDS

  • General Practice Dentistry
  • Raytown, MO
  • NPI 1699600759
  NPD (past)

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1609249804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 E 350",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641335717",
            "telephone_number": "816-674-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 E 350",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641335717",
            "telephone_number": "816-674-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE BIG SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "970-901-9865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "2010033385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790905800",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Lehleitner
• Matthew A. Liberator, LPC
• Life Changes Home Care, LLC
• Lighthouse Dental LLC
• Melanie Lynn Linderer, O.D.
• Little Sisters of the Poor
• Live and Growth Healthcare, LLC
• Heather Danielle Long, LMT
• Long& Son Construction, Inc.
• Love and Care Center

• Dental Clinic/Center in Raytown, MO
• Providers in Raytown, 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 Nov 10, 2015; 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.