Shannon McCaul Rizzi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2022032019 Issued in MO

Practice address

8650 NE Shoal Creek Valley Dr
Kansas City, MO 64157-8063

Phone

(816) 429-5799

NPI assigned

Jun 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shannon Elizabeth McCaul Former name

Medicare fee-for-service enrollment

Enrolled in KS

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jackson Family Dental LLC

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1851781520
  NPD
• Legends Dental Group, P.a.

  • General Practice Dentistry
  • Kansas City, KS
  • NPI 1033559570
  NPD (past)

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1740929462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8650 NE SHOAL CREEK VALLEY DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641578063",
            "telephone_number": "816-429-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 NE SHOAL CREEK VALLEY DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641578063",
            "telephone_number": "816-429-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZZI",
        "first_name": "SHANNON",
        "middle_name": "MCCAUL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61871",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2022032019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "MCCAUL",
            "middle_name": "ELIZABETH",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carlos E Rivas-Gotz, MD
• River Market Dental LLC
• Arnold Feliciano Rivera, DNP, FNP-BC
• River Rivers, MD
• Riviera RCM, LLC
• Ralph A Rizzuti, RT
• RJDS LLC
• RM Dental Group East
• RM Dental Group Plaza
• RMC HBP LLC

• Dentist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.