Active NPI
Emily Clare Bartell Drake, D.D.S
- Pediatric Dentistry
- Kansas City, MO
National Provider Identifier
1487628053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 2011017345
- Practice address
- 3801 Southwest Trfy
Kansas City, MO 64111-2902 - Phone
- (816) 622-2000
- Fax
- (816) 298-9214
- NPI assigned
- Feb 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 2011017345 | MO | Primary |
| Dentist | 122300000X | 6537 | NE |
Addresses
Primary practice location
3801 Southwest Trfy
Kansas City, MO 64111-2902
Mailing address
3801 Southwest Trfy
Kansas City, MO 64111-2902
Phone (816) 622-2000
Other practice location 1
104 Archibald St
Kansas City, MO 64111-2230
Phone (816) 531-0382
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 |
|---|---|---|---|
| 6537 | NE | MD | Dentist |
| 2011017345 | MO | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas City Pediatric Dentistry LLC | Pediatric Dentistry | Current | Accepting new patients |
| Westport Family Dental, LLC | Past | Accepting new patients | |
| Keith Dental Westport LLC | Past | Accepting new patients |
Locations
3801 Southwest Trfy
Kansas City, MO 64111
Phone (816) 622-2000
Organizations & group practices 3
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.
-
- Pediatric Dentistry
- Kansas City, MO
- NPI 1912530478
-
- General Practice Dentistry
- Kansas City, MO
- NPI 1548182025
-
- Dental Clinic/Center
- Kansas City, MO
- NPI 1760093892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1487628053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 SOUTHWEST TRFY",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641112902",
"telephone_number": "816-622-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 SOUTHWEST TRFY",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641112902",
"telephone_number": "816-622-2000",
"fax_number": "816-298-9214"
}
],
"practiceLocations": [
{
"address_1": "104 Archibald St",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641112230",
"country_code": "US",
"telephone_number": "816-531-0382",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DRAKE",
"first_name": "EMILY",
"middle_name": "CLARE BARTELL",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "MO",
"license": "2011017345",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "6537",
"primary": false
}
],
"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 Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.