Bert William Oettmeier Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5419 Issued in KS

Practice address

4501 College Blvd
Suite 270
Leawood, KS 66211-1761

Phone

(913) 491-6553

Fax

(913) 491-6559

NPI assigned

Sep 30, 2005

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1255328688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 COLLEGE BLVD",
            "address_2": "SUITE 270",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111761",
            "telephone_number": "913-491-6553",
            "fax_number": "913-491-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 COLLEGE BLVD",
            "address_2": "SUITE 270",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111761",
            "telephone_number": "913-491-6553",
            "fax_number": "913-491-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OETTMEIER",
        "first_name": "BERT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "5419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace O'Grady
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• Thomas P O'Sullivan, DDS
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• Ann Marie Olsen-Meehan, LSCSW

• General Practice Dentistry in Leawood, KS
• Providers in Leawood, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.