NPIMap

Organization Active NPI

Altenburg Dental Group, DDS, P.C.

  • General Practice Dentistry
  • Kansas City, MO
National Provider Identifier
1548378128
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
013242 Issued in MO
Legal business name
ALTENBURG DENTAL GROUP, DDS, P.C.
Practice address
5571 NW Barry Rd
Kansas City, MO 64154-1408
Phone
(816) 587-0600
Fax
(816) 587-7662
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Timothy J Altenburg, DDSNPI 1821012477
Title
President
Phone
(816) 587-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 013242 MO Primary

Addresses

Primary practice location

5571 NW Barry Rd
Kansas City, MO 64154-1408

Mailing address

5571 NW Barry Rd
Kansas City, MO 64154-1408
Phone (816) 587-0600

Other names 1

  • Barry Road Dental Group Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548378128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5571 NW BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541408",
            "telephone_number": "816-587-0600",
            "fax_number": "816-587-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5571 NW BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541408",
            "telephone_number": "816-587-0600",
            "fax_number": "816-587-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTENBURG DENTAL GROUP, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALTENBURG",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-587-0600",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "013242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barry Road Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 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.

Verify at the official NPI Registry.