Rae Musselman, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

61052 Issued in KS

Practice address

11005 W 60TH St
Suite 240
Shawnee, KS 66203-2716

Phone

(913) 631-5622

NPI assigned

Jul 25, 2013

Last updated

Jan 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kiene Dental Group LLC

  • General Practice Dentistry
  • Shawnee, KS
  • NPI 1851482756
  NPD (past)

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1578905931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13901 CONSER ST",
            "address_2": "APT 1601",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662234211",
            "telephone_number": "805-234-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11005 W 60TH ST",
            "address_2": "SUITE 240",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662032716",
            "telephone_number": "913-631-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSELMAN",
        "first_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61052",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2013026541",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrice M Murphy, MS
• Andrea Beth Murray, M.D.
• Jonathan Murray
• Theresa Ann Murray, FNP-C
• Lainey Musick
• Kimberly Kay Mustain, LBSW
• Lani Myer, APRN
• Georgia J. Nab, D.C.
• Devyn Jo Nanomantube
• Erin Morgan Nash, APRN

• Dentist in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.