Active NPI
Thomas Lloyd Russell
- Dentist
- Kansas City, MO
National Provider Identifier
1285821884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2017032912
- Practice address
- 607 E 64TH Ter
Kansas City, MO 64131-1129 - Phone
- (816) 444-8969
- NPI assigned
- Sep 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 2017032912 | MO | Primary |
Addresses
Primary practice location
607 E 64TH Ter
Kansas City, MO 64131-1129
Mailing address
5125 Roe Blvd
Suite 100
Roeland Park, KS 66205-2358
Phone (913) 831-4300
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 |
|---|---|---|---|
| 2017032912 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners in Care Dentistry, LLC | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Roeland Park, KS
- NPI 1568176626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574985600000",
"number": "1285821884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5125 ROE BLVD",
"address_2": "SUITE 100",
"city": "ROELAND PARK",
"state": "KS",
"postal_code": "662052358",
"telephone_number": "913-831-4300",
"fax_number": "913-831-6999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 E 64TH TER",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641311129",
"telephone_number": "816-444-8969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "THOMAS",
"middle_name": "LLOYD",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-27",
"last_updated": "2019-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2017032912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.