Pediatric Dental Specialists, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

015672 Issued in MO

Legal business name

PEDIATRIC DENTAL SPECIALISTS, PA

Practice address

3355 NE Ralph Powell Road
Lee's Summit, MO 64064

Phone

(816) 525-5447

NPI assigned

Mar 16, 2007

Last updated

Mar 10, 2008By 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. Donna K. Thomas, D.D.S.

Title

Owner

Phone

(816) 525-5447

Specialties & licenses 1

Addresses

Tax ID family

Pediatric Dental Specialists PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric Specialist PA

  • Pediatric Dentistry
  • Leawood, KS
  • NPI 1619992419
  NPD tax ID

Locations

Practitioners 1

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.

• Melissa A Combs, DDS

  • Periodontics
  • Leawood, KS
  • NPI 1891714143
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1811011018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 NE RALPH POWELL ROAD",
            "city": "LEE'S SUMMIT",
            "state": "MO",
            "postal_code": "64064",
            "telephone_number": "816-525-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 NE RALPH POWELL ROAD",
            "city": "LEE'S SUMMIT",
            "state": "MO",
            "postal_code": "64064",
            "telephone_number": "816-525-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-525-5447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "015672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reilynn Payne
• Sarah Ann Payne, AGACNP-BC
• Sarah Pearl, D.O.
• Carla R Pearman, M.D.
• James David Pearson, PHARM D
• Pediatric Professionals
• Alicia Ellis Peery, LPC
• Ivy S Pellerito, MA, LPC
• Christopher Pelton, FNP-C
• Jessica Pemberton, M.ED, BCBA, LBA

• Dental Clinic/Center in Lee's Summit, MO
• Providers in Lee's Summit, 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 Mar 10, 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.

Verify at the official NPI Registry.