Wisdom Dental Group Excelsior Springs LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WISDOM DENTAL GROUP EXCELSIOR SPRINGS LLC

Doing business as

Wisdom Dental Group

Practice address

197 S McCleary Rd
Excelsior Springs, MO 64024

Phone

(816) 573-0077

NPI assigned

Oct 7, 2025

Organization subpart

No

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

Authorized official

Name

Jonah FoutzNPI 1437411493

Title

Member

Phone

(816) 573-0077

Specialties & licenses 1

Addresses

Other names 1

• Wisdom Dental Group Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonah Leroy Foutz

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1437411493
  NPD Authorized official

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1366317653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1489 HEMLOCK CT",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683724",
            "telephone_number": "816-573-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 S MCCLEARY RD",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "64024",
            "telephone_number": "816-573-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM DENTAL GROUP EXCELSIOR SPRINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "FOUTZ",
        "authorized_official_first_name": "JONAH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "816-573-0077"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wisdom Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Wilkins, LPN
• Kathryn Michelle Willimetz
• Angela T. Wilson, PT
• Cynthia NMN Wilson, PMHNP-C
• Heather Marie Wilson, D.O.
• Morgan Wood
• Ashely Ann Zweifel

• Dentist in Excelsior Springs, MO
• Providers in Excelsior Springs, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.