Active NPI
William E. Luther Jr., D.D.S.
- General Practice Dentistry
- Lees Summit, MO
National Provider Identifier
1659479392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1223G0001X
- Practice address
- 325 SE Wilson St
Lees Summit, MO 64063-2715 - Phone
- (816) 525-0399
- Fax
- (816) 525-5160
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1223G0001X | MO | Primary |
Addresses
Primary practice location
325 SE Wilson St
Lees Summit, MO 64063-2715
Mailing address
325 SE Wilson St
Lees Summit, MO 64063-2715
Phone (816) 525-0399
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05948020 | Other | MO | BLUE CROSS BLUE SHIELD KC |
| 470950518 | Other | MO | FEDREAL ID# 47-0950518 |
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 |
|---|---|---|---|
| 1223G0001X | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastridge Family Dental, PC | General Practice | Past | Accepting new patients |
| William E. Luther, Jr., D.D.S., L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Lees Summit, MO
- NPI 1972687580
-
- General Practice Dentistry
- Lees Summit, MO
- NPI 1427660018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659479392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 SE WILSON ST",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640632715",
"telephone_number": "816-525-0399",
"fax_number": "816-525-5160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 SE WILSON ST",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640632715",
"telephone_number": "816-525-0399",
"fax_number": "816-525-5160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTHER",
"first_name": "WILLIAM",
"middle_name": "E.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "1223G0001X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD KC",
"identifier": "05948020",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDREAL ID# 47-0950518",
"identifier": "470950518",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.