Provider Demographics
NPI:1255673851
Name:HART GROUP INVESTMENTS LLC
Entity type:Organization
Organization Name:HART GROUP INVESTMENTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:913-333-5085
Mailing Address - Street 1:151 S 18TH ST STE Q
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66102-5625
Mailing Address - Country:US
Mailing Address - Phone:970-901-9865
Mailing Address - Fax:816-503-9404
Practice Address - Street 1:151 S 18TH ST STE Q
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66102-5625
Practice Address - Country:US
Practice Address - Phone:970-901-9865
Practice Address - Fax:816-503-9404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-21
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS609181223G0001X
1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1740631043Medicaid