Organization Active NPI

Arch Dental, P.a.

  • General Practice Dentistry
  • Kansas City, MO
National Provider Identifier
1760941124
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ARCH DENTAL, P.A.
Practice address
209 NE Barry Rd
Kansas City, MO 64155-2721
Phone
(816) 454-6443
NPI assigned
Mar 15, 2019
Organization subpart
Yes
Parent organization
ARCH DENTAL, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Brad Nelson
Title
Owner
Phone
(405) 260-6080

Specialties & licenses 1

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

Addresses

Primary practice location

209 NE Barry Rd
Kansas City, MO 64155-2721

Mailing address

209 NE Barry Rd
Kansas City, MO 64155-2721
Phone (816) 454-6443

Other names 1

  • Platinum Family Dental Doing business as

National Provider Directory

National Provider Directory
Part of
Arch Dental PA

Locations

209 NE Barry Rd
Kansas City, MO 64155
Phone (816) 436-6767

NPI Registry JSON

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1760941124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 NE BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552721",
            "telephone_number": "816-454-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 NE BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552721",
            "telephone_number": "816-454-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCH DENTAL, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARCH DENTAL, P.A.",
        "enumeration_date": "2019-03-15",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-260-6080"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Platinum Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Platinum Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 5, 2024; 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.