Rachel Brunker

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2019022250 Issued in MO

Practice address

209 NW Blue Pkwy
Lees Summit, MO 64063-1872

Phone

(816) 525-7373

NPI assigned

Jun 21, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Advanced Dental of Lees Summit LLC

  • Dental Clinic/Center
  • Lees Summit, MO
  • NPI 1407662612
  NPD Authorized official
• Rachel Brunker DDS LLC

  • Dental Clinic/Center
  • Lees Summit, MO
  • NPI 1689399651
  NPD Authorized official

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1497316483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 NW BLUE PKWY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631872",
            "telephone_number": "816-525-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 NW BLUE PKWY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631872",
            "telephone_number": "816-525-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNKER",
        "first_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2019022250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Brucks, DC
• Cristie Bruening, D.O.
• Mary Brulja, D.O.
• Stephen Wayne Brumit, DDS
• Kristin Brummel, PHARM.D.
• Hodge James Bryan, OTD, OTR/L
• Alexis Bryant, RBT
• Toni Lee Buchheit, M.D.
• Elijah Lorenz Buchholz, LCPC, LCAC, LPC
• Sally R Buckholz

• General Practice Dentistry in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.