Active NPI
Kallsnick & Careswell
- General Practice Dentistry
- Lee's Summit, MO
National Provider Identifier
1194830992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 012368
- Legal business name
- KALLSNICK & CARESWELL
- Practice address
- 300 SE 2ND St Ste 200
Lees Summit, MO 64063-2759 - Phone
- (816) 524-6300
- Fax
- (816) 524-7648
- NPI assigned
- Aug 20, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sam K Kallsnick III, DDS
- Title
- Dentist
- Phone
- (816) 524-6300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 012368 | MO | Primary |
Addresses
Primary practice location
300 SE 2ND St Ste 200
Lees Summit, MO 64063-2759
Mailing address
300 SE 2ND St Ste 200
Lees Summit, MO 64063-2759
Phone (816) 524-6300
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Lee's Summit, MO
- NPI 1225068497
-
- Dentist
- Lee's Summit, MO
- NPI 1487063152
-
- General Practice Dentistry
- Lee's Summit, MO
- NPI 1831120526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1194830992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SE 2ND ST STE 200",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640632759",
"telephone_number": "816-524-6300",
"fax_number": "816-524-7648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SE 2ND ST STE 200",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640632759",
"telephone_number": "816-524-6300",
"fax_number": "816-524-7648"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KALLSNICK & CARESWELL",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KALLSNICK",
"authorized_official_first_name": "SAM",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "816-524-6300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "012368",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.