Organization Active NPI

Andrew Otto DMD PC

Doing business as Otto Family Dental

  • Dental Clinic/Center
  • Kansas City, MO
National Provider Identifier
1760226401
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ANDREW OTTO DMD PC
Doing business as
Otto Family Dental
Practice address
200 NE 54TH St Unit 115
Kansas City, MO 64118-4338
Phone
(816) 454-7422
NPI assigned
Jun 19, 2024
Last updated
Apr 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Dr. Andrew Otto, DMDNPI 1477122786
Title
Dentist/ President
Phone
(816) 454-7422

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

200 NE 54TH St Unit 115
Kansas City, MO 64118-4338

Mailing address

200 NE 54TH St Unit 115
Kansas City, MO 64118-4338
Phone (816) 454-7422

Other names 1

  • Otto Family Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1760226401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NE 54TH ST UNIT 115",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184338",
            "telephone_number": "816-454-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NE 54TH ST UNIT 115",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184338",
            "telephone_number": "816-454-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW OTTO DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "OTTO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "DENTIST/ PRESIDENT",
        "authorized_official_telephone_number": "816-454-7422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Otto Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 14, 2025; 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.