Meredith Amber Kruse
Individual provider Active NPI Dentist · Lees Summit, MO
NPI 1073442802 · NPPES record last updated Sep 8, 2026
Key facts
- NPI
- 1073442802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2026031778 (MO)
- Practice address
- 301 NE Mulberry St Ste 205
Lees Summit, MO 64086-6071 - Phone
- (816) 246-4920
- NPI assigned
- May 18, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 2026031778 | MO | Yes |
Addresses
Primary practice location
301 NE Mulberry St Ste 205
Lees Summit, MO 64086-6071
Mailing address
5618 Cherokee Cir
Fairway, KS 66205-3301
Phone (913) 636-6790
Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.