Mint Dental Barry, LLC.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MINT DENTAL BARRY, LLC.

Doing business as

Mint Dental

Practice address

5 NW Barry Rd
Kansas City, MO 64155-2728

Phone

(816) 436-8949

NPI assigned

Aug 10, 2022

Organization subpart

No

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

Authorized official

Name

Wayne Dobbins, DDS

Title

Ceo

Phone

(480) 343-5072

Specialties & licenses 1

Addresses

Other names 1

• Mint Dental Doing business as

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1790413565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15933 W 65TH ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662179342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 NW BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552728",
            "telephone_number": "816-436-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINT DENTAL BARRY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "DOBBINS",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-343-5072",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mint Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mint Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lacey Mings-Upshaw, PLPC
• Gregg E Minion, MD
• Minnesota Professional Medical Services LLC
• Joshua Seth Minnis, MSW
• Karen K Minor, FNP
• Alexander Minter, PMHNP
• Ashley Minton
• Abdul Rauf Mir, M.D.
• Ashley Marie Mirabile, RN, DNP
• Marissa Mirakian

• 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 11, 2022; 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.