Richard S Campos, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2019024194 Issued in MO

Practice address

19 E Gregory Blvd
Kansas City, MO 64114-1117

Phone

(573) 201-9262

NPI assigned

Jul 22, 2019

Last updated

Aug 13, 2024By the provider in NPPES

Sex

Male

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

Enrolled in MO, KS2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FCJABA

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.

• Swope Health Services

  • Federally Qualified Health Center (FQHC)
  • Kansas City, MO
  • NPI 1689760076
  Medicare reassignment NPD
• Swope Health Services

  • Federally Qualified Health Center (FQHC)
  • Kansas City, KS
  • NPI 1861587511
  Medicare reassignment NPD
• Southtown Family Dental LLC

  dba Southtown Family Dental

  • Dental Clinic/Center
  • Kansas City, MO
  • NPI 1285465120
  NPD Authorized official
• Swope Health Services

  dba Swope Health East

  • Federally Qualified Health Center (FQHC)
  • Independence, MO
  • NPI 1083914105
  NPD
• Swope Health Services

  • Federally Qualified Health Center (FQHC)
  • Kansas City, MO
  • NPI 1285404434
  NPD
• Swope Health Services

  • Federally Qualified Health Center (FQHC)
  • Kansas City, KS
  • NPI 1013002765
  NPD

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1710530464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E GREGORY BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641141117",
            "telephone_number": "573-201-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E GREGORY BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641141117",
            "telephone_number": "573-201-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "RICHARD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-22",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2019024194",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2019024194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Camper
• John Campobasso, DO
• Daniel Campos Machado Da Silva, LPC
• Erica E Campos, NP
• Kimberly Kathryn Campos
• Toni R Campos, NURSE
• Afra Can, M.D.
• Basak Can, MD
• Anthony Clarence Canada
• Frances Marie Canaday

• General Practice Dentistry in Kansas City, MO
• Providers in Kansas City, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.