NPIMap

Organization Active NPI

Raytown Dental LLC

  • Dental Clinic/Center
  • Raytown, MO
National Provider Identifier
1700029253
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RAYTOWN DENTAL LLC
Practice address
9600 E Highway 350
Raytown, MO 64133-6513
Phone
(816) 356-2273
NPI assigned
Apr 14, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Mathew Draper
Title
Owner
Phone
(816) 356-2273

Practitioners 7

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

National Provider Directory

National Provider Directory

Locations

9600 E State Route 350
Raytown, MO 64133
Phone (816) 356-2273

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

NPPES NPI Registry

Primary practice location

9600 E Highway 350
Raytown, MO 64133-6513

Mailing address

9600 E Highway 350
Raytown, MO 64133-6513
Phone (816) 356-2273

Other names 1

NPPES NPI Registry
  • Comfort Dental Raytown Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 14, 2009.

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1700029253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 E HIGHWAY 350",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641336513",
            "telephone_number": "816-356-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 E HIGHWAY 350",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641336513",
            "telephone_number": "816-356-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYTOWN DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "DRAPER",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-356-2273",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental Raytown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raytown, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.