Westport Family Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WESTPORT FAMILY DENTAL, LLC

Practice address

104 Archibald St
Kansas City, MO 64111-2230

Phone

(816) 531-0382

NPI assigned

Aug 12, 2020

Last updated

Aug 12, 2020By 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

Dr. Aaron Kyle Smitka, DDSNPI 1851700975

Title

Owner

Phone

(816) 531-0382

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aaron Smitka, DDS

  • Dentist
  • Kansas City, MO
  • NPI 1851700975
  NPD Authorized official
• Emily Clare Bartell Drake, D.D.S

  • Pediatric Dentistry
  • Kansas City, MO
  • NPI 1487628053
  NPD (past)
• Ellen A Sheridan, DDS

  • Dentist
  • Kansas City, MO
  • NPI 1932269032
  NPD (past)

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1760093892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ARCHIBALD ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112230",
            "telephone_number": "816-531-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 ARCHIBALD ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112230",
            "telephone_number": "816-531-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTPORT FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "SMITKA",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-531-0382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly J. Westhusing, B.A., J.D.
• Casey Dawn Weston, LMSW
• Westport Allen Village School (Allen Village School)
• Westport Anesthesia Services of Missouri, PC
• Westport Eyecare LLC
• Westport Plaza Dental Associates
• Westport Plaza Medical Group, Inc
• Westport Serenity LLC
• Westport TMS LLC
• Westwood Community Bridge LLC

• Dental Clinic/Center in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.