Active NPI
Rita M Burnett, DDS
- General Practice Dentistry
- Kansas City, KS
National Provider Identifier
1770577686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5957
- Practice address
- 155 S 18TH St
212
Kansas City, KS 66102-5642 - Phone
- (913) 371-8499
- Fax
- (913) 371-0568
- NPI assigned
- Sep 7, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5957 | KS | Primary |
Addresses
Primary practice location
155 S 18TH St
212
Kansas City, KS 66102-5642
Mailing address
155 S 18TH St
212
Kansas City, KS 66102-5642
Phone (913) 371-8499
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4054837102 | Medicaid | KS | |
| 102886 | Medicaid | KS | |
| 10935015 | Other | MO | BCBS |
| 27708 | Other | KS | BCBS |
| 102644 | Other | KS | CIGNA |
| 5957 | Other | KS | DELTA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5957 | KS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swope Health Services | Current | Accepting new patients | |
| Swope Health Services | Current | Accepting new patients |
Locations
17844 E 23rd St S
Independence, MO 64057
Phone (816) 257-9716
3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone (816) 599-5500
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.
-
- Federally Qualified Health Center (FQHC)
- Kansas City, MO
- NPI 1689760076
-
- Federally Qualified Health Center (FQHC)
- Kansas City, MO
- NPI 1285404434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1770577686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 S 18TH ST",
"address_2": "212",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661025642",
"telephone_number": "913-371-8499",
"fax_number": "913-371-0568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 S 18TH ST",
"address_2": "212",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661025642",
"telephone_number": "913-371-8499",
"fax_number": "913-371-0568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETT",
"first_name": "RITA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-07",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "5957",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4054837102",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102886",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "10935015",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "27708",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "102644",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA",
"identifier": "5957",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.