Individual provider Active NPI

Robert Oliver Weiss, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Bridgeton, MO
National Provider Identifier
1124576723
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2023007573 Issued in MO
Practice address
12184 Natural Bridge Rd
Bridgeton, MO 63044-2017
Phone
(314) 391-4936
NPI assigned
Sep 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2023007573 MO Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 62052 KS

Addresses

Primary practice location

12184 Natural Bridge Rd
Bridgeton, MO 63044-2017

Mailing address

9729 Sagamore Rd
Leawood, KS 66206-2313
Phone (314) 609-2227

Other practice location 1

7848 State Ave
Kansas City, KS 66112-2417
Phone (816) 235-3455

Other practice location 2

845 N New Ballas Ct Ste 201
Saint Louis, MO 63141-7169
Phone (314) 948-5914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260414003580 KS Practitioner - Maxillofacial Surgery 8022397496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

905 McGee St
Kansas City, MO 64106-2210

PO Box
Suite 1173
Salem, UT 84653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62052KSMDOral and Maxillofacial Surgery (Dentist)
2023007573MOMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Cleft and Craniofacial Specialists LLC Oral and Maxillofacial Surgery Current Accepting new patients

Locations

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1124576723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9729 SAGAMORE RD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662062313",
            "telephone_number": "314-609-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12184 NATURAL BRIDGE RD",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442017",
            "telephone_number": "314-391-4936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7848 State Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661122417",
            "country_code": "US",
            "telephone_number": "816-235-3455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "845 N New Ballas Ct Ste 201",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631417169",
            "country_code": "US",
            "telephone_number": "314-948-5914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISS",
        "first_name": "ROBERT",
        "middle_name": "OLIVER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-13",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "2023007573",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KS",
            "license": "62052",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

Verify at the official NPI Registry.