Active NPI
Taylor Sutherland, DDS
- Dentist
- Merriam, KS
National Provider Identifier
1457700650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 61169
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160920001578 | MO | Order and Referring Only - Other (Physician) | 8921395997 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Antioch Dentistry PA | Current | 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.
-
- General Practice Dentistry
- Merriam, KS
- NPI 1720490261
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.