Individual provider Active NPI

Taylor Sutherland, DDS

  • Dentist
  • Merriam, KS
National Provider Identifier
1457700650
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61169 Issued in KS
Practice address
5754 Antioch Rd
Merriam, KS 66202-2015
Phone
(913) 671-7066
NPI assigned
Jun 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2016018487 MO
Dentist 122300000X 61169 KS Primary

Addresses

Primary practice location

5754 Antioch Rd
Merriam, KS 66202-2015

Mailing address

5754 Antioch Rd
Merriam, KS 66202
Phone (913) 671-7066

Other practice location 1

11674 W 135th St
Overland Park, KS 66221-2837
Phone (913) 871-5723

Other practice location 2

10818 Parallel Pkwy
Kansas City, KS 66109-3649
Phone (913) 299-8860

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
I20160920001578 MO Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 8921395997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Antioch Dentistry PA CurrentSince Jul 24, 2022 Accepting new patients

Locations

5754 Antioch Rd
Merriam, KS 66202
Phone (913) 671-7066

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.

NPI Registry JSON

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1457700650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5754 ANTIOCH RD",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "66202",
            "telephone_number": "913-671-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5754 ANTIOCH RD",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662022015",
            "telephone_number": "913-671-7066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11674 W 135th St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662212837",
            "country_code": "US",
            "telephone_number": "913-871-5723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10818 Parallel Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661093649",
            "country_code": "US",
            "telephone_number": "913-299-8860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "TAYLOR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2016018487",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merriam, KS

Sources for this page

Verify at the official NPI Registry.