Individual provider Active NPI

Aaron Smitka, DDS

  • Dentist
  • Kansas City, MO
National Provider Identifier
1851700975
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2014017946 Issued in MO
Practice address
104 Archibald St
Kansas City, MO 64111-2230
Phone
(816) 531-0382
NPI assigned
Aug 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2014017946 MO Primary

Addresses

Primary practice location

104 Archibald St
Kansas City, MO 64111-2230

Mailing address

104 Archibald St
Kansas City, MO 64111-2230
Phone (816) 531-0382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2014017946MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Westport Family Dental, LLC CurrentSince Aug 23, 2020 Accepting new patients
Keith Dental Westport LLC PastSince Aug 23, 2020 Accepting new patients
R P McGraw DDS LLC Dentist Past Accepting new patients

Locations

104 Archibald St
Kansas City, MO 64111
Phone (816) 531-0382

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1851700975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ARCHIBALD ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112230",
            "telephone_number": "816-531-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 ARCHIBALD ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112230",
            "telephone_number": "816-531-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITKA",
        "first_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-04",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2014017946",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 12, 2020; 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.