John Knox Kiesendahl, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

010852 Issued in MO

Practice address

400 E Red Bridge Rd
Suite 200
Kansas City, MO 64131-4035

Phone

(816) 942-7789

Fax

(816) 942-5964

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• John K. Kiesendahl, D.D.S.,P.C.

  • Dentist
  • Kansas City, MO
  • NPI 1093934747
  NPD (past) Authorized official

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881779122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E RED BRIDGE RD",
            "address_2": "SUITE 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314035",
            "telephone_number": "816-942-7789",
            "fax_number": "816-942-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E RED BRIDGE RD",
            "address_2": "SUITE 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314035",
            "telephone_number": "816-942-7789",
            "fax_number": "816-942-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIESENDAHL",
        "first_name": "JOHN",
        "middle_name": "KNOX",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "010852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kidney Care Center Kansas City
• Kidz Connection Group Home
• Tascha Elizabeth Kieft, MS, CF-SLP
• Jolinda May Kiel, DC
• Lindsay Kiely, CPNP-PC
• Mackenzie Nicole Kieslich, PTA
• Nathan John Kiewiet, M.D.
• Erin Leigh Kihlberg, APRN
• Howard W Kilbride, MD
• Sara A Kilbride, D.O.

• Dentist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.