Dylan James Waugh, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2024019735 Issued in MO

Practice address

325 SE Wilson St
Lees Summit, MO 64063-2715

Phone

(816) 525-0399

NPI assigned

May 31, 2024

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Eastridge Family Dental, PC

  • General Practice Dentistry
  • Lees Summit, MO
  • NPI 1427660018
  NPD
• William E. Luther, Jr., D.D.S., L.L.C.

  • Dentist
  • Lees Summit, MO
  • NPI 1972687580
  NPD (past)

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1669212007",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAUGH",
        "first_name": "DYLAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2024019735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa Wu Wang, NP-C
• Jared Andrew Wann, PHARMD
• Kortney Ward
• Stephen Edward Waters, D.C., LIC.AC., D.N.M
• Kimberly Ann Watson, M.S, CCC-SLP
• Rachelle Lee Weakley, M.S., LPC
• Wealth Manifested, L.L.C.
• Wearmouth Wellness LLC
• Jana D Weaver, PLPC
• Sam Weaver, DC

• Dentist in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.