What is Samuel Douglas's NPI number?

Samuel Douglas's National Provider Identifier (NPI) is 1124867924, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Samuel Douglas's specialty?

Samuel Douglas is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Samuel Douglas located?

Samuel Douglas's practice location on file with NPPES is 519 Sw 3rd St Ste G, Lees Summit, MO 64063-2278.

What is Samuel Douglas's phone number?

The practice phone number listed in the NPPES registry for Samuel Douglas is (816) 524-3434.

Is Samuel Douglas's NPI active?

Yes — Samuel Douglas's NPI (1124867924) is active in the NPPES registry as of the last update on 2024-06-11.

IndividualActive

Samuel Douglas, DDS

NPI 1124867924 · Dentist · Lees Summit, MO

Samuel Douglas, DDS is a Dentist provider in Lees Summit, MO (NPI 1124867924).

Provider details

NPI number: 1124867924
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: 2024021490 (MO)

Specialties & taxonomies

DentistPrimary122300000XLicense 2024021490 (MO)
Dental Providers

Profile Score

Established profile(56/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

519 Sw 3rd St Ste G

Lees Summit, MO 64063-2278

Phone: (816) 524-3434

Street-level locationGet directions

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Mailing address