Esthetic Dental Implants Studio LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ESTHETIC DENTAL IMPLANTS STUDIO LLC

Practice address

19301 E US Highway 40 Ste a
Independence, MO 64055-5572

Phone

(816) 886-5899

Fax

(816) 873-1938

NPI assigned

Jun 24, 2024

Organization subpart

No

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

Authorized official

Name

Venkata Siva Reddy Guvva, BDSNPI 1265084875

Title

Owner

Phone

(419) 819-7450

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Venkata Siva Reddy Guvva, BDS,PROSTHODONTICS

  • Prosthodontics
  • Jefferson City, MO
  • NPI 1265084875
  NPD Authorized official
• Douglas Eugene Harshberger, D.D.S.

  • Prosthodontics
  • Independence, MO
  • NPI 1053490565
  NPD (past)

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1851135875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19301 E US HIGHWAY 40 STE A",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555572",
            "telephone_number": "816-886-5899",
            "fax_number": "816-873-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19301 E US HIGHWAY 40 STE A",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555572",
            "telephone_number": "816-886-5899",
            "fax_number": "816-873-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTHETIC DENTAL IMPLANTS STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "GUVVA",
        "authorized_official_first_name": "VENKATA",
        "authorized_official_middle_name": "SIVA REDDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-819-7450",
        "authorized_official_credential": "BDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold Epps, ATC
• Anna Erickson, PTA
• Jessica Svea Esch
• Jayasheel Onesimus Eshcol, M.D.
• Heather Ester, PT
• Carolyn Diane Evans, RN
• Denise Ann Evans
• Joseph Cedric Evans Jr., M.D.
• Shawna Lynn Evans, D.C.
• Eye Care LLC

• Dentist in Independence, MO
• Providers in Independence, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.