Ian Kuklenski, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2017021247 Issued in MO

Practice address

8435 Clint Dr
Belton, MO 64012-5330

Phone

(816) 331-5900

NPI assigned

Sep 7, 2017

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.

• Ian R Kuklenski DDS PC

  • Dental Clinic/Center
  • Belton, MO
  • NPI 1881112068
  NPD (past) Authorized official
• Belton Dental, LLC

  • Dental Clinic/Center
  • Belton, MO
  • NPI 1134914310
  NPD (past)

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504742400000",
    "number": "1982122164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8435 CLINT DR",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640125330",
            "telephone_number": "816-331-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8435 CLINT DR",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640125330",
            "telephone_number": "816-331-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKLENSKI",
        "first_name": "IAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-07",
        "last_updated": "2017-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2017021247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sankar Reddy Kodidhi, MD
• Melanie Renee Shaw Kovarik, ARNP, BC
• Abie Kowa
• Fea Kowa
• Elizabeth Kreipe
• Victor V Kutsar, DC
• Laboratory Corporation of America Holdings
• Labored With Love, LLC
• Andrea Landis
• Randy S. Large, DO

• Dentist in Belton, MO
• Providers in Belton, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; 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.