PERIODONTAL CARE NORTH LLC NPI 1952093494

NPI Information

  • NPI: 1952093494
  • Provider Name: PERIODONTAL CARE NORTH, LLC
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Address: 5707 NW 64TH TER
    KANSAS CITY, MO
    ZIP 64151
  • Phone: (816) 741-3830

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NPI Details

PERIODONTAL CARE NORTH, LLC is a periodontics dentist in Kansas City, MO. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. PERIODONTAL CARE NORTH, LLC NPI is 1952093494. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5707 NW 64TH TER
KANSAS CITY, MO
ZIP 64151-382
Phone: (816) 741-3830
Fax: (816) 741-2693

The provider's authorized official is Ashley Marie Johnson .
The authorized official title is Director Of Operations and has the following contact phone number (913) 379-9498.

The enumeration date for this NPI number is 5/23/2023 and was last updated on 5/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodonticsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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