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EXCELSIOR SPRINGS FAMILY DENTISTRY LLC
NPI 1508330986
Dentist - General Practice in Excelsior Springs, MO

Active since January 18, 2019
196 S. MCCLEARY RD, EXCELSIOR SPRINGS, MO 64024(816) 630-5713(816) 630-0392 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 2, 2020, Jan 18, 2019 (2 updates tracked since 2019).

About Excelsior Springs Family Dentistry Llc NPPES

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

EXCELSIOR SPRINGS FAMILY DENTISTRY LLC (NPI 1508330986) is a healthcare organization registered as a general practice in Excelsior Springs, Missouri and active in the NPI registry since January 2019. The organization lists Kari J Simmons, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1508330986
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEXCELSIOR SPRINGS FAMILY DENTISTRY LLC
Location Address196 S. MCCLEARY RDExcelsior Springs, MO 64024
Mailing Address196 S. Mccleary RdExcelsior Springs, MO 64024 · (816) 630-5713 · Fax (816) 630-0392
Phone(816) 630-5713
Fax(816) 630-0392
Organization SubpartNo
Authorized OfficialKari J SimmonsOffice Manager · (816) 630-5713
Enumeration DateJanuary 18, 2019
Last NPPES UpdateDecember 2, 20202 updates tracked since enumeration
NPPES CertifiedDecember 2, 2020
✔ NPI 1508330986 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.
196 S. MCCLEARY RD, Excelsior Springs, MO 64024
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Other Identifiers 2

Other1306850680MO · Dds
Other1063426799MO · Dds

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. TRENT SCOTT CRAVEN DDS
Dentist (General Practice)
196 S. MCCLEARY RD
EXCELSIOR SPRINGS, MO 64024
Clay County (816) 630-5713
DR. NICHOLAS LLOYD HOUK DDS
Dentist (General Practice)
196 S. MCCLEARY RD
EXCELSIOR SPRINGS, MO 64024
Clay County (816) 630-5713

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 Excelsior Springs Family Dentistry LLC's NPI number?

The NPI number for Excelsior Springs Family Dentistry LLC is 1508330986. It was assigned to this organization in the NPPES registry on January 18, 2019.

Where is Excelsior Springs Family Dentistry LLC located?

Excelsior Springs Family Dentistry LLC is located at 196 S. Mccleary Rd, Excelsior Springs, MO 64024. The listed phone number is (816) 630-5713.

What is Excelsior Springs Family Dentistry LLC's specialty?

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

What insurance does Excelsior Springs Family Dentistry LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Excelsior Springs Family Dentistry LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Excelsior Springs Family Dentistry LLC was last updated on December 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.