Organization Active NPI

Drtlcdds LLC

  • Dentist
  • Kansas City, MO
National Provider Identifier
1659769487
Registry record updated Jan 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE14809 Issued in MO
Legal business name
DRTLCDDS LLC
Practice address
408 E Bannister Rd
Kansas City, MO 64131-3010
Phone
(816) 333-3337
NPI assigned
Jan 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2015

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

Authorized official

Name
Karen Rethmeyer, D.D.S.NPI 1871672667
Title
Owner
Phone
(816) 333-3337

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE14809 MO Primary

Addresses

Primary practice location

408 E Bannister Rd
Kansas City, MO 64131-3010

Mailing address

408 E Bannister Rd
Kansas City, MO 64131-3010
Phone (816) 333-3337

National Provider Directory

National Provider Directory

Locations

408 E Bannister Rd
Kansas City, MO 64131
Phone (816) 333-3337

Practitioners & affiliated clinicians

Practitioners 1

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": "1420070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420070400000",
    "number": "1659769487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E BANNISTER RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641313010",
            "telephone_number": "816-333-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E BANNISTER RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641313010",
            "telephone_number": "816-333-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRTLCDDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-01",
        "last_updated": "2015-01-01",
        "status": "A",
        "authorized_official_last_name": "RETHMEYER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-333-3337",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "DE14809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 1, 2015; 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.