Active NPI
Gregory John Stelzer
- Dentist
- Kansas City, MO
National Provider Identifier
1154436715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 014022
- Practice address
- 315 Nichols Rd 198
Kansas City, MO 64112 - Phone
- (816) 561-3377
- NPI assigned
- Aug 21, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 014022 | MO | Primary |
Addresses
Primary practice location
315 Nichols Rd 198
Kansas City, MO 64112
Mailing address
315 Nichols Rd 198
Kansas City, MO 64112
Phone (816) 561-3377
Other names 1
- Gregory John Stelzer
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 |
|---|---|---|---|
| 014022 | MO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154436715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 NICHOLS RD 198",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64112",
"telephone_number": "816-561-3377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 NICHOLS RD 198",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64112",
"telephone_number": "816-561-3377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STELZER",
"first_name": "GREGORY",
"middle_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "014022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GREGORY",
"last_name": "STELZER",
"middle_name": "JOHN",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.