Metropolitan Dental Associates, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2008028444 Issued in MO

Legal business name

METROPOLITAN DENTAL ASSOCIATES, PC

Practice address

751 E 63Rd St
Suite 217
Kansas City, MO 64110-3385

Phone

(816) 523-7788

Fax

(816) 444-1175

NPI assigned

Feb 3, 2016

Last updated

Feb 15, 2017By 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

Aniika R Jackson, DDS

Title

Dentist

Phone

(816) 523-7788

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1649638891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 E. 63RD ST",
            "address_2": "SUITE 217",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64110",
            "telephone_number": "816-523-7788",
            "fax_number": "816-444-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 E 63RD ST",
            "address_2": "SUITE 217",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641103385",
            "telephone_number": "816-523-7788",
            "fax_number": "816-444-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ANIIKA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "816-523-7788",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2008028444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Kansas City, MO
• Providers in Kansas City, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.