THE INDIAN SPRINGS DENTAL CLINIC, LLC
NPI 1144207705
Dentist - General Practice in Kansas City, KS

Active since December 26, 2005
4655 STATE AVE, KANSAS CITY, KS 66102(913) 287-7977(913) 287-5022 Get Directions Write a Review

NPPES record last updated: March 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Indian Springs Dental Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE INDIAN SPRINGS DENTAL CLINIC, LLC (NPI 1144207705) is a healthcare organization registered as a general practice in Kansas City, Kansas and active in the NPI registry since December 2005. The organization lists Jenell Stump, Director, Licensing & Credentialing, as its authorized official.

NPPES Registry Identity

NPI1144207705
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTHE INDIAN SPRINGS DENTAL CLINIC, LLC
Location Address4655 STATE AVEKansas City, KS 66102-3603
Mailing Address4655 State AveKansas City, KS 66102-3601 · (913) 287-7977 · Fax (913) 287-5022
Fax(913) 287-5022
Organization SubpartNo
Authorized OfficialJenell StumpDirector, Licensing & Credentialing · (913) 287-7977
Enumeration DateDecember 26, 2005
Last NPPES UpdateMarch 26, 2015
NPI 1144207705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4655 STATE AVE, Kansas City, KS 66102

Other Identifiers 2

Medicaid1144207705MO
Medicaid200383490AKS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
4655 STATE AVE
KANSAS CITY, KS 66102
Dentist
4655 STATE AVE
KANSAS CITY, KS 66102
Dentist (General Practice)
4655 STATE AVE
KANSAS CITY, KS 66102
Dentist (General Practice)
4655 STATE AVE
KANSAS CITY, KS 66102
Dentist (General Practice)
4655 STATE AVE
KANSAS CITY, KS 66102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Indian Springs Dental Clinic, LLC's NPI number?

The NPI number for The Indian Springs Dental Clinic, LLC is 1144207705. It was assigned to this organization in the NPPES registry on December 26, 2005.

Where is The Indian Springs Dental Clinic, LLC located?

The Indian Springs Dental Clinic, LLC is located at 4655 State Ave, Kansas City, KS 66102. The listed phone number is (913) 287-7977.

What is The Indian Springs Dental Clinic, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for The Indian Springs Dental Clinic, LLC was last updated on March 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.