SUMMIT PEDIATRIC DENTISTRY – Pediatric Dentistry, NPI 1053848374

SUMMIT PEDIATRIC DENTISTRY is a healthcare provider. based in Lees summit, Missouri. specializing in Pediatric Dentistry. The organization holds a License No. 2006037222 (MO). The NPI Number for SUMMIT PEDIATRIC DENTISTRY is 1053848374

Main info

Organization
Name
SUMMIT PEDIATRIC DENTISTRY
NPI
1053848374
Phone
(816) 256-0073
Address
24 NW CHIPMAN RD STE B
Authorized Official
MONCY MATHEW OWNER/DENTIST DDS
Enumeration Date
17 May 2017
Last Update Date
21 July 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for SUMMIT PEDIATRIC DENTISTRY

  • Northwest Chipman Road, Lee's Summit, Jackson County, Missouri, 64081, United States

    LEES SUMMIT, MO 640631929

    Phone: (816) 256-0073

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64063)

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Reviews

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Frequently asked questions

What federal number belongs to SUMMIT PEDIATRIC DENTISTRY?
The federal identifier for SUMMIT PEDIATRIC DENTISTRY is NPI 1053848374.
Is SUMMIT PEDIATRIC DENTISTRY's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does SUMMIT PEDIATRIC DENTISTRY work in?
You can think of SUMMIT PEDIATRIC DENTISTRY as practicing within Pediatric Dentistry. Clinical services aligned with this taxonomy classification.
Where is SUMMIT PEDIATRIC DENTISTRY's primary listing?
We display Lees Summit, Missouri because that is what the record indicates for SUMMIT PEDIATRIC DENTISTRY.
How can I contact SUMMIT PEDIATRIC DENTISTRY?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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