Robert Busetti, DOCTOR OF DENTAL SUR

Primary specialty

DentistTaxonomy code 122300000X

License

5877 Issued in KS

Practice address

10346 State Line Road
Leawood, KS 66206

Phone

(913) 492-6438

NPI assigned

Mar 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. B Busetti Professional name

Medicare fee-for-service enrollment

Enrolled in KS

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922137074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12713",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662822713",
            "telephone_number": "913-492-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10346 STATE LINE ROAD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "66206",
            "telephone_number": "913-492-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSETTI",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF DENTAL SUR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "13763",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "5877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "B",
            "last_name": "BUSETTI",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anna Marie Francesca Burkhart
• Jared Burns, PA-C
• Paige Burns, RBT
• Troy Andrew Burns, MD
• Laura Kay Burt, LMLP-T
• Paige Bush
• Gabriella Bux, M.A.,CCC-SLP
• Olivia Ann Byram, MS, CCC-SLP
• Meredith Turner Cabe, PT, DPT
• Jerome Cahill

• Dentist in Leawood, KS
• Providers in Leawood, KS by specialty
• Dentist in Kansas

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.