Active NPI
Robinson Todd Kiser, DMD
- Pediatric Dentistry
- Leavenworth, KS
National Provider Identifier
1104019793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 60953
- Practice address
- 2511 S 4TH St
Leavenworth, KS 66048-4512 - Phone
- (913) 250-6583
- NPI assigned
- Aug 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 2014031262 | MO | |
| Pediatric Dentistry | 1223P0221X | 60953 | KS | Primary |
Addresses
Primary practice location
2511 S 4TH St
Leavenworth, KS 66048-4512
Mailing address
2511 S 4TH St
Leavenworth, KS 66048-4512
Phone (913) 250-6583
Other practice location 1
6001 NW Barry Rd Ste A
Kansas City, MO 64154-2527
Phone (816) 207-3022
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 |
|---|---|---|---|
| 60953 | KS | MD | Pediatric Dentist |
| 2014031262 | MO | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kiser Pediatric Dentistry II / Dba Little Chompers Pediatric Dentistry | Pediatric Dentistry | Current | Accepting new patients |
| Robinson T Kiser DMD LLC | Pediatric Dentistry | Current | Accepting new patients |
| Rem Anesthesia, LLC | Past | Accepting new patients |
Locations
2511 S 4th St
Leavenworth, KS 66048
Phone (913) 250-6583
6001 NW Barry Rd
Ste A
Kansas City, MO 64154
Phone (816) 207-3022
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Leavenworth, KS
- NPI 1043786932
-
- Pediatric Dentistry
- Kansas City, MO
- NPI 1790590446
-
- Certified Registered Nurse Anesthetist
- Shawnee, KS
- NPI 1417609405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726272000000",
"number": "1104019793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2511 S 4TH ST",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660484512",
"telephone_number": "913-250-6583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2511 S 4TH ST",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660484512",
"telephone_number": "913-250-6583"
}
],
"practiceLocations": [
{
"address_1": "6001 NW Barry Rd Ste A",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641542527",
"country_code": "US",
"telephone_number": "816-207-3022",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KISER",
"first_name": "ROBINSON",
"middle_name": "TODD",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-27",
"last_updated": "2024-09-14",
"certification_date": "2024-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MO",
"license": "2014031262",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "KS",
"license": "60953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leavenworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.