Organization Active NPI

Dr Robert G Marx DDS & Associates LLC

  • General Practice Dentistry
  • Gladstone, MO
National Provider Identifier
1730246166
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
012690 Issued in MO
Legal business name
DR ROBERT G MARX DDS & ASSOCIATES LLC
Practice address
5708 N Broadway St
Gladstone, MO 64118-3962
Phone
(816) 452-2000
Fax
(816) 452-4069
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Authorized official

Name
Dr. Robert G Marx, DDS
Title
Owner
Phone
(816) 452-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 012690 MO Primary

Addresses

Primary practice location

5708 N Broadway St
Gladstone, MO 64118-3962

Mailing address

5708 N Broadway St
Gladstone, MO 64118-3962
Phone (816) 452-2000

Other names 1

  • Robert G Marx Jr DDS Former legal business name

National Provider Directory

National Provider Directory

Locations

5708 N Broadway St
Kansas City, MO 64118
Phone (816) 452-2000

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1730246166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5708 N BROADWAY ST",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641183962",
            "telephone_number": "816-452-2000",
            "fax_number": "816-452-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5708 N BROADWAY ST",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641183962",
            "telephone_number": "816-452-2000",
            "fax_number": "816-452-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ROBERT G MARX DDS & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "MARX",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-452-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "012690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert G Marx Jr DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Gladstone, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.