I Smile KCK LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

6422 Issued in KS

Legal business name

I SMILE KCK LLC

Practice address

6420 Parallel Pkwy
Kansas City, KS 66102-1043

Phone

(913) 299-6699

Fax

(913) 299-2256

NPI assigned

Oct 25, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Deeann Richards Behrens, DDSNPI 1417948027

Title

Owner Dentist

Phone

(913) 299-6699

Specialties & licenses 1

Addresses

Practitioners 2

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

• Deeann Richards Behrens, DDS

  • General Practice Dentistry
  • Kansas City, KS
  • NPI 1417948027
  NPD Authorized official
• Alison Ingram Riekhof, DDS

  • General Practice Dentistry
  • Kansas City, KS
  • NPI 1154302420
  NPD (past)

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508889600000",
    "number": "1629580063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 PARALLEL PKWY",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661021043",
            "telephone_number": "913-299-6699",
            "fax_number": "913-299-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 PARALLEL PKWY",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661021043",
            "telephone_number": "913-299-6699",
            "fax_number": "913-299-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I SMILE KCK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A",
        "authorized_official_last_name": "BEHRENS",
        "authorized_official_first_name": "DEEANN",
        "authorized_official_middle_name": "RICHARDS",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "913-299-6699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KS",
            "license": "6422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Hyatt, D.O.
• Myra Anne Hyatt, LSCSW
• Eric D. Hyde, P.T.
• Alex John Hydock
• Phillip D Hylton, M.D.
• Emily Iannazzo, DO
• Tamar R Ibanez, NP
• Elizabeth Frances Ibarra
• Ignite Medical Resort Rainbow Boulevard LLC
• Stephanie A Ikeme, D.O.

• Dental Clinic/Center in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Dental Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.