Individual provider Active NPI

Jeffrey Joseph Speak, RDH

  • Dental Hygienist
  • Kansas City, MO
National Provider Identifier
1659203537
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
2019020307 Issued in MO
Practice address
19 E Gregory Blvd
Kansas City, MO 64114-1117
Phone
(816) 603-1737
NPI assigned
Jun 2, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 2019020307 MO Primary

Addresses

Primary practice location

19 E Gregory Blvd
Kansas City, MO 64114-1117

Mailing address

19 E Gregory Blvd
Kansas City, MO 64114-1117
Phone (816) 603-1737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2019020307MOMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Southtown Family Dental LLC PastSince Aug 1, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1659203537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E GREGORY BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641141117",
            "telephone_number": "816-603-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E GREGORY BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641141117",
            "telephone_number": "816-603-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEAK",
        "first_name": "JEFFREY",
        "middle_name": "JOSEPH",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MO",
            "license": "2019020307",
            "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 2, 2026; 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.