Luke David Wordekemper, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2025018653 Issued in MO

Practice address

200 N Forest Ave
Liberty, MO 64068-1070

Phone

(816) 792-8030

NPI assigned

May 30, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1235022104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16108 SPENCER ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681166435",
            "telephone_number": "402-939-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N FOREST AVE",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681070",
            "telephone_number": "816-792-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORDEKEMPER",
        "first_name": "LUKE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2025018653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Ann Wittmeyer, RDH
• Shane Matthew Witzki
• Stacy Witzki
• Autumn Elizabeth Woods
• Jaclyn Woods
• Olivia Joy Wrisinger
• Wubbenhorst & Wubbenhorst, Inc.
• Dale H Wytock, MD
• Ben Grant Yelton
• Kelsi York, LPC

• General Practice Dentistry in Liberty, MO
• Providers in Liberty, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.