Hormoz Hormozdi

Primary specialty

DentistTaxonomy code 122300000X

License

2012015475 Issued in MO

Practice address

5950 N Oak Trfy Ste 101
Gladstone, MO 64118-5164

Phone

(816) 298-0090

NPI assigned

May 23, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1871853853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 N OAK TRFY STE 101",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641185164",
            "telephone_number": "816-298-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 N OAK TRFY STE 101",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641185164",
            "telephone_number": "816-298-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORMOZDI",
        "first_name": "HORMOZ",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-23",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2012015475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Chad Hewitt, D.P.M.
• His Glory LLC
• Les L Holmes, DDS
• Hometown Medical LLC
• Hormozdi D.D.S. Denture Clinic, PC
• Susan Howard-Perry, PSYD, LPC
• Hy-Vee Inc (Hy-Vee Pharmacy (1219))
• Laura Kay Hyland, FNP-C
• Frank J Infranca, D.C.
• Inspire Adult Day Center LLC (Inspire Adult Day Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.