Organization Active NPI

Drtlcdds LLC

  • General Practice Dentistry
  • Kansas City, MO
National Provider Identifier
1932288677
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE 14809 Issued in MO
Legal business name
DRTLCDDS LLC
Doing business as
TLC Dental Care
Practice address
9225 Ward Pkwy
Suite 100
Kansas City, MO 64114-3336
Phone
(816) 333-3337
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Karen H. Rethmeyer, D.D.S.NPI 1871672667
Title
Owner
Phone
(816) 333-3337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

Other names 1

  • TLC Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

9225 Ward Pkwy
Ste 100
Kansas City, MO 64114
Phone (816) 333-3337

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932288677",
    "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": {
        "organization_name": "DRTLCDDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RETHMEYER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-333-3337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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": [
        {
            "organization_name": "TLC Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.