Active NPI
Robert Fechner, D.D.S.
- Dentist
- Merriam, KS
National Provider Identifier
1861805947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 61013
- Practice address
- 5754 Antioch Rd
Merriam, KS 66202-2015 - Phone
- (913) 671-7066
- NPI assigned
- Jun 6, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2014016796 | MO | |
| Dentist | 122300000X | 61013 | KS | Primary |
Addresses
Primary practice location
5754 Antioch Rd
Merriam, KS 66202-2015
Mailing address
4635 Terrace St
Kansas City, MO 64112-1127
Phone (636) 236-8561
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
| License | State | Type | Specialty |
|---|---|---|---|
| 61013 | KS | MD | Dentist |
| 2014016796 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Antioch Dentistry PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Merriam, KS
- NPI 1720490261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404950400000",
"number": "1861805947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4635 TERRACE ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641121127",
"telephone_number": "636-236-8561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5754 ANTIOCH RD",
"city": "MERRIAM",
"state": "KS",
"postal_code": "662022015",
"telephone_number": "913-671-7066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FECHNER",
"first_name": "ROBERT",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-06",
"last_updated": "2014-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2014016796",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KS",
"license": "61013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merriam, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.