Individual provider Active NPI

Richard A Padley, DDS

  • Periodontics
  • Kansas City, MO
National Provider Identifier
1447271465
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
13141 Issued in MO
Practice address
411 Nichols Rd
Suite 204
Kansas City, MO 64112-2000
Phone
(816) 931-2122
Fax
(816) 931-2144
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 13141 MO Primary

Addresses

Primary practice location

411 Nichols Rd
Suite 204
Kansas City, MO 64112-2000

Mailing address

411 Nichols Rd
Suite 204
Kansas City, MO 64112-2000
Phone (816) 931-2122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141110001236 MO Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6608098520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13141MOMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1447271465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 NICHOLS RD",
            "address_2": "SUITE 204",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641122000",
            "telephone_number": "816-931-2122",
            "fax_number": "816-931-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 NICHOLS RD",
            "address_2": "SUITE 204",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641122000",
            "telephone_number": "816-931-2122",
            "fax_number": "816-931-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADLEY",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MO",
            "license": "13141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.