OrganizationActive
Summit Pediatric Dentistry
NPI 1053848374 · Pediatric Dentistry · Lees Summit, MO
Summit Pediatric Dentistry is a Pediatric Dentistry organization in Lees Summit, MO (NPI 1053848374).
Provider details
- NPI number
- 1053848374
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Moncy Mathew, Owner/Dentist(816) 256-0073
- License
- 2006037222 (MO)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
24 Nw Chipman Rd Ste B
Lees Summit, MO 64063-1929
Phone: (816) 256-0073
Street-level locationGet directions
Mailing address
24 Nw Chipman Rd Ste B
Lees Summit, MO 64063-1929
Registry dates
- Enumerated
- 2017-05-17
- Last updated
- 2022-07-21
Frequently asked questions
- What is Summit Pediatric Dentistry's NPI number?
- Summit Pediatric Dentistry's National Provider Identifier (NPI) is 1053848374, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Summit Pediatric Dentistry?
- Summit Pediatric Dentistry is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Summit Pediatric Dentistry located?
- Summit Pediatric Dentistry's practice location on file with NPPES is 24 Nw Chipman Rd Ste B, Lees Summit, MO 64063-1929.
- What is Summit Pediatric Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Summit Pediatric Dentistry is (816) 256-0073.
- Who is the authorized official for Summit Pediatric Dentistry?
- The authorized official listed on Summit Pediatric Dentistry's NPPES record is Moncy Mathew, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Summit Pediatric Dentistry's NPI active?
- Yes — Summit Pediatric Dentistry's NPI (1053848374) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.