Individual provider Active NPI

Karen H. Rethmeyer, D.D.S.

  • General Practice Dentistry
  • Kansas City, MO
National Provider Identifier
1871672667
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE 14809 Issued in MO
Practice address
9225 Ward Pkwy
Suite 100
Kansas City, MO 64114-3336
Phone
(816) 333-3337
NPI assigned
Nov 3, 2006
Last updated
Jun 24, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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 DE 14809 MO Primary

Addresses

Primary practice location

9225 Ward Pkwy
Suite 100
Kansas City, MO 64114-3336

Mailing address

702 E 97TH St
Kansas City, MO 64131-3243
Phone (816) 333-3337

Other identifiers 1

IdentifierTypeStateIssuer
13191011OtherMOBLUE CROSS BLUE SHIELD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150506001198 MO Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2264607373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE 14809MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Drtlcdds LLC General Practice Past Accepting new patients
Drtlcdds LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1871672667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 E 97TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641313243",
            "telephone_number": "816-333-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 WARD PKWY",
            "address_2": "SUITE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143336",
            "telephone_number": "816-333-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETHMEYER",
        "first_name": "KAREN",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "DE 14809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "13191011",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.