Kaitlyn Ann Carr, DDS
Individual provider Active NPI Dentist · Raytown, MO
NPI 1740176569 · NPPES record last updated Jun 17, 2025
Key facts
- NPI
- 1740176569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2025022986 (MO)
- Practice address
- 9600 E State Route 350
Raytown, MO 64133-6513 - Phone
- (816) 356-2273
- NPI assigned
- Jun 17, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025022986 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smile Care Raytown, LLC | Dentist | Past |
Accepting new patients |
| Raytown Dental LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2025022986 | MO | Yes |
Addresses
Primary practice location
9600 E State Route 350
Raytown, MO 64133-6513
Mailing address
13117 W 137TH PL
Overland Park, KS 66221-4121
Phone (913) 488-2513
Other providers in Raytown, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.