Parkville Pediatric Dentistry, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PARKVILLE PEDIATRIC DENTISTRY, LLC

Practice address

6004 N.W. 9 Hwy
Parkville, MO 64152-3549

Phone

(816) 746-5437

NPI assigned

May 22, 2018

Organization subpart

No

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

Authorized official

Name

Rachael L Graue, DDS

Title

Owner

Phone

(816) 746-5437

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Michael P Berry, D.D.S.

  • Pediatric Dentistry
  • Parkville, MO
  • NPI 1164412128
  NPD (past)

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1699266965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6004 NW 9 HWY",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641523549",
            "telephone_number": "816-746-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6004 N.W. 9 HWY",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641523549",
            "telephone_number": "816-746-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKVILLE PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "GRAUE",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-746-5437",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ann Older
• Michele D Omundson, NP
• Cortney L Oyer
• Paladin Health LLC
• Park University
• Mark Parr
• Sarah Parrish, LCSW
• Pratik M Patel
• Aminah Peltzer, PLPC
• Larinda Larae Penne, LPC

• Pediatric Dentistry in Parkville, MO
• Providers in Parkville, MO by specialty
• Pediatric Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.