Enrich Dental SC Series LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ENRICH DENTAL SC SERIES LLC

Practice address

104 S Sterling Ave
Sugar Creek, MO 64054-1215

Phone

(816) 254-6557

Fax

(816) 254-6550

NPI assigned

Oct 15, 2020

Last updated

Nov 4, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashton Leslie Richards, DDSNPI 1467014365

Title

Dentist/Owner

Phone

(816) 447-7096

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashton Leslie Richards, DDS

  • Dentist
  • Sugar Creek, MO
  • NPI 1467014365
  NPD Authorized official
• James D Smith, DDS

  • General Practice Dentistry
  • Sugar Creek, MO
  • NPI 1598785974
  NPD (past)

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1962000505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S STERLING AVE",
            "city": "SUGAR CREEK",
            "state": "MO",
            "postal_code": "640541215",
            "telephone_number": "816-254-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S STERLING AVE",
            "city": "SUGAR CREEK",
            "state": "MO",
            "postal_code": "640541215",
            "telephone_number": "816-254-6557",
            "fax_number": "816-254-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRICH DENTAL SC SERIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "ASHTON",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "816-447-7096",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@enrichdental.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "104 S Sterling Ave",
            "city": "Sugar Creek",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640541215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Active Care Chiropractic, Inc. (Active Care Chiropractic of Sugar Creek, P.C.)
• Chere Hellenbrand
• James D. Smith DDS, L.L.C.
• Charles Matthew Mallinson, P.D, R.PH.
• Tara Menefee
• Evin Ellen Pearsall, D.C.

• Durable Medical Equipment & Medical Supplies in Sugar Creek, MO
• Providers in Sugar Creek, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.