Caroline S St. John, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2012016244 Issued in MO

Practice address

9150 NE Barry Rd Ste B
Kansas City, MO 64157-1247

Phone

(816) 792-3500

Fax

(816) 792-3501

NPI assigned

Jul 2, 2012

Last updated

Jul 2, 2012By 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 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Missouri Dental Professionals, Richard Straus, DMD, PC

  dba Liberty Dental Care

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1952686941
  NPD (past)

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1639433964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 NE BARRY RD STE B",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641571247",
            "telephone_number": "816-792-3500",
            "fax_number": "816-792-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 NE BARRY RD STE B",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641571247",
            "telephone_number": "816-792-3500",
            "fax_number": "816-792-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. JOHN",
        "first_name": "CAROLINE",
        "middle_name": "S",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2012016244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Lukes Hospital of Kansas City (Crittenton Children's Center)
• St Lukes Hospital of Kansas City (Sant Luke's Specialty Pharmacy)
• St Lukes Pathology Associates PA
• St Magdalena of Kansas City
• Noelle Elise St. Jacques, PT, DPT
• St. Joseph Medical Center
• St. Joseph Medical Center
• St. Joseph Medical Center
• Sydni Dion St. Julian
• St. Luke's Hospital (St. Luke's Community Service Clinics)

• Dentist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.

Verify at the official NPI Registry.