Individual provider Active NPI

Amy Lurae Westerberg, DDS

  • General Practice Dentistry
  • Kansas City, MO
National Provider Identifier
1760904536
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2017023184 Issued in MO
Practice address
4546 Main St
Kansas City, MO 64111-1816
Phone
(816) 931-2342
NPI assigned
Jul 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2017023184 MO Primary

Addresses

Primary practice location

4546 Main St
Kansas City, MO 64111-1816

Mailing address

4546 Main St
Kansas City, MO 64111-1816
Phone (816) 931-2342

Other practice location 1

14221 Metcalf Ave Ste 100
Overland Park, KS 66223-3333
Phone (913) 851-5900

Other names 1

  • Amy Lurae Tarr Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2017023184MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brian S. Sutton DDS, PC CurrentSince Jul 24, 2022 Accepting new patients
Matthew T. Lenz DDS, LLC Past Accepting new patients

Locations

4546 Main St
Kansas City, MO 64111
Phone (816) 239-3214

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1760904536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4546 MAIN ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641111816",
            "telephone_number": "816-931-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4546 MAIN ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641111816",
            "telephone_number": "816-931-2342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14221 Metcalf Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662233333",
            "country_code": "US",
            "telephone_number": "913-851-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTERBERG",
        "first_name": "AMY",
        "middle_name": "LURAE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2017023184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "TARR",
            "middle_name": "LURAE",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 21, 2022; 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.