Organization Active NPI

Robert G. Smith, DDS, CHTD.

  • General Practice Dentistry
  • Prairie Village, KS
National Provider Identifier
1902981319
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4936 Issued in KS
Legal business name
ROBERT G. SMITH, DDS, CHTD.
Practice address
3700 W 83Rd St
Suite 103
Prairie Village, KS 66208-5121
Phone
(913) 649-5600
Fax
(913) 649-2069
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Sherry L Faddis
Title
Bus. MNGR
Phone
(913) 649-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4936 KS Primary

Addresses

Primary practice location

3700 W 83Rd St
Suite 103
Prairie Village, KS 66208-5121

Mailing address

3700 W 83Rd St
Suite 103
Prairie Village, KS 66208-5121
Phone (913) 649-5600

National Provider Directory

National Provider Directory

Locations

3700 W 83rd St
Ste 103
Prairie Vlg, KS 66208
Phone (913) 381-5194

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1902981319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 W 83RD ST",
            "address_2": "SUITE 103",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662085121",
            "telephone_number": "913-649-5600",
            "fax_number": "913-649-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W 83RD ST",
            "address_2": "SUITE 103",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662085121",
            "telephone_number": "913-649-5600",
            "fax_number": "913-649-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT G. SMITH, DDS, CHTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "FADDIS",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUS. MNGR",
        "authorized_official_telephone_number": "913-649-5600"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "4936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.