Active NPI
Dennis Alan Stites, DDS
- General Practice Dentistry
- Lee's Summit, MO
National Provider Identifier
1063670990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 013804
- Practice address
- 1325 NE Douglas
Lees Summit, MO 64086-4607 - Phone
- (816) 524-4200
- Fax
- (816) 524-0582
- NPI assigned
- May 28, 2008
- Last updated
- May 28, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 013804 | MO | Primary |
Addresses
Primary practice location
1325 NE Douglas
Lees Summit, MO 64086-4607
Mailing address
1325 NE Douglas Street
Lees Summit, MO 64086-4607
Phone (816) 524-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013804 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dennis a Stites DDS LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211932800000",
"number": "1063670990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 NE DOUGLAS STREET",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640864607",
"telephone_number": "816-524-4200",
"fax_number": "816-524-0582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 NE DOUGLAS",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640864607",
"telephone_number": "816-524-4200",
"fax_number": "816-524-0582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STITES",
"first_name": "DENNIS",
"middle_name": "ALAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-28",
"last_updated": "2008-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "013804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lee's Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.