Summit Village Family Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

015384 Issued in MO

Legal business name

SUMMIT VILLAGE FAMILY DENTAL LLC

Practice address

600 NW Murray Rd
Suite 304
Lees Summit, MO 64081-1204

Phone

(816) 525-5414

NPI assigned

Feb 17, 2016

Organization subpart

No

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

Authorized official

Name

Bryan Pace

Title

Business Manager

Phone

(816) 525-5414

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Dillon Anh Quan Trinh, DDS

  • General Practice Dentistry
  • Lees Summit, MO
  • NPI 1427891936
  NPD (past)

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1932568060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NW MURRAY RD",
            "address_2": "SUITE 304",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640811204",
            "telephone_number": "816-525-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NW MURRAY RD",
            "address_2": "SUITE 304",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640811204",
            "telephone_number": "816-525-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT VILLAGE FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "816-525-5414"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "015384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit RX, LLC
• Summit Skin Care Incorporated
• Summit Sleep Solutions LLC
• Summit Strength Physical Therapy, LLC
• Summit Therapy Solutions LLC
• Sundance Rehabilitation Corp
• Supplemental
• Dhyanesh Suresh, D.D.S
• Surgical Services, P.a.
• Susan Barngrover PHD, PC

• General Practice Dentistry in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.