Active NPI
Haywood L Hambrick, D.D.S. Inc
- Orthodontics and Dentofacial Orthopedics Dentistry
- Kansas City, MO
National Provider Identifier
1790950582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 012136 / 591
- Legal business name
- HAYWOOD L HAMBRICK, D.D.S. INC
- Practice address
- 1115 East 65TH Street
Kansas City, MO 64131-1202 - Phone
- (816) 523-7766
- Fax
- (816) 523-2263
- NPI assigned
- Apr 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Haywood Lee Hambrick, D D S
- Title
- Owner
- Phone
- (816) 523-7766
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 012136 / 591 | MO | Primary |
Addresses
Primary practice location
1115 East 65TH Street
Kansas City, MO 64131-1202
Mailing address
1115 E 65TH St
Kansas City, MO 64131-1202
Phone (816) 523-7766
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2181 | Other | MO | DORAL |
| 609100 | Other | MO | BRIDGEPORT |
| 400750402 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
1115 E 65th St
Kansas City, MO 64131
Phone (816) 444-9091
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Kansas City, MO
- NPI 1447386206
-
- General Practice Dentistry
- Kansas City, MO
- NPI 1629299383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208908800000",
"number": "1790950582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 E 65TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641311202",
"telephone_number": "816-523-7766",
"fax_number": "816-523-2263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 EAST 65TH STREET",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641311202",
"telephone_number": "816-523-7766",
"fax_number": "816-523-2263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAYWOOD L HAMBRICK, D.D.S. INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-23",
"last_updated": "2008-04-23",
"status": "A",
"authorized_official_last_name": "HAMBRICK",
"authorized_official_first_name": "HAYWOOD",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "816-523-7766",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D D S"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MO",
"license": "012136 / 591",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORAL",
"identifier": "2181",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRIDGEPORT",
"identifier": "609100",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "400750402",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
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 Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.