INDEPENDENCE AVENUE DENTAL LLC (NPI# 1396982468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396982468 |
| Entity Type | Organization |
| Organization Name | INDEPENDENCE AVENUE DENTAL LLC |
| Other Organization Name | TRUE DENTAL GROUP |
| Practice Address |
1638 West 24 Highway Independence MO 64050 |
| Practice Telephone | 8164616911 |
| Practice Fax Number | 8164613675 |
| Mailing Telephone | 8164616911 |
| Mailing Fax Number | 8164613675 |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2020-06-11 |
| Authorized Official Name | DR. RANDAL ADAM SILVER (OWNER) |
| Authorized Official Telephone | 8164616911 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 404078503 | 05 |
| Other Name | Type Code |
|---|---|
| Comfort Dental 24 Highway | Doing Business As Name - Organization |
| True Dental Group | Doing Business As Name - Organization |
| Street Address |
1638 WEST 24 HIGHWAY |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841698024 | Joshonna Price | Occupational Therapy Assistant | 810 E Walnut, Independence, MO 64050 | 2014-12-19 |
| 1003151770 | Melinda Stegner | Registered Nurse | 3445 South 291 Hwy, Ste 300, Independence, MO 64050 | 2012-12-06 |
| 1194075788 | Healthstat- Independence School District | Preventive Medicine | 1516 W. Maple, Independence, MO 64050 | 2012-09-12 |
| 1568790749 | Charity Faith Morris | Case Manager/Care Coordinator | 314 E Pacific Avenue, Independence, MO 64050 | 2009-11-25 |
| 1225276090 | Best Smile, LLC | Dentist | 651 E 24 Hwy, Independence, MO 64050 | 2009-02-01 |
| 1366640914 | Center for The Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1215 W. Truman Rd, Independence, MO 64050 | 2007-07-05 |
| 1992871883 | Stephen Ervin Dorsch | Family Medicine | 1638 W 24 Hwy, Independence, MO 64050 | 2006-11-24 |
| 1831284801 | Ronald Eugene Jennings | Dentist | 514 S Noland Road, Noland Medical Plaza Suite 120, Independence, MO 64050 | 2006-10-04 |
| 1841393782 | Carmel Hills Healthcare and Rehabilitation Center, LLC | Skilled Nursing Facility | 810 East Walnut, Independence, MO 64050 | 2006-09-06 |
| 1699888594 | John Darrell Newman | Dentist | 514 S Noland Rd, Ste 140, Independence, MO 64050 | 2006-08-16 |
| Find all providers in zip 64050 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467059980 | Valudental Independence LLC | Clinic/Center | 600 E Us Highway 24, Independence, MO 64050-2910 | 2020-10-07 |
| 1720526924 | Ashley & Gray D.d.s.'s | Clinic/Center | 1520 E 23rd Str, Ste Q, Independence, MO 64055 | 2017-02-08 |
| 1255660759 | Western Dairyland Eoc | Clinic/Center | 23140 Whitehall Rd, Independence, WI 54747-7702 | 2009-12-11 |
| 1457505950 | Edwin M. Myers, D.d.s., P.C. | Clinic/Center | 18110 E Us Highway 24, Ste. A, Independence, MO 64056-1170 | 2008-11-11 |
| 1568086866 | Grant M Webster Dmd Family Dentistry LLC | Clinic/Center | 109 W Main St, Independence, KS 67301-3510 | 2020-06-02 |
| 1528585700 | Anna R. Jones, Dds, LLC | Clinic/Center | 18110 E Us Highway 24, Independence, MO 64056-1170 | 2017-08-28 |
| 1871730952 | Noland Road Dental, LLC | Clinic/Center | 3908 S Noland Rd, Independence, MO 64055-3347 | 2009-01-12 |
| 1871750380 | Yendes,mcgraw, Mcgraw,williams, Peterson& Morrison, Dds PC | Clinic/Center | 19501 E 40 Hwy, Independence, MO 64055-5475 | 2008-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444740 | Ressel Family Dentistry LLC | Clinic/Center | 1 E Broadway Ste A, Columbia, MO 65203-4205 | 2020-10-16 |
| 1144835828 | Rem Dds, LLC | Clinic/Center | 10000 Watson Rd Ste 2mm, Saint Louis, MO 63126-1848 | 2020-09-10 |
| 1043824832 | Pleasant Dental Care Kc | Clinic/Center | 912 E 63rd St Ste 100, Kansas City, MO 64110-3439 | 2020-08-31 |
| 1164033122 | Dental Depot of Blue Springs Pllc | Clinic/Center | 1500 S 7 Hwy, Blue Springs, MO 64014-3943 | 2020-08-13 |
| 1184235517 | Twin Creeks Family Dentistry LLC | Clinic/Center | 10560 N Ambassador Dr Ste 200, Kansas City, MO 64153-1591 | 2020-08-10 |
| 1003434234 | Jason L Allen Dmd LLC | Clinic/Center | 5147 Daggett Ave, Saint Louis, MO 63110-3009 | 2020-07-14 |
| 1538622071 | Smile Safari of Missouri | Clinic/Center | 10016 E 63rd St, Raytown, MO 64133-5102 | 2019-04-11 |
| 1275094864 | Itooth Family Dentistry, LLC | Clinic/Center | 3211 E Battlefield St Ste 100, Springfield, MO 65804-4071 | 2019-03-27 |
| 1033677901 | C. Hastings, Dds, LLC | Clinic/Center | 1709 Heritage Hills Dr, Washington, MO 63090-4621 | 2019-03-08 |
| 1144784711 | Tmj and Sleep Therapy Centre of Kansas City | Clinic/Center | 1236 W 103rd St, Kansas City, MO 64114-4513 | 2019-01-28 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 64050 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.