OrganizationActive
Claycomo Dental Group LLC
NPI 1205255460 · Dental Clinic/Center · Kansas City, MO
Claycomo Dental Group LLC is a Dental Clinic/Center organization in Kansas City, MO (NPI 1205255460).
Provider details
- NPI number
- 1205255460
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bryan Shewanick, Dentist(816) 454-1313
- License
- 2009016386 (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
244 E US Highway 69
Suite 101
Kansas City, MO 64119-3184
Phone: (816) 454-1313
Fax: (816) 454-5377
Street-level locationGet directions
Mailing address
244 E US Highway 69
Kansas City, MO 64119-3184
Registry dates
- Enumerated
- 2014-04-15
- Last updated
- 2014-04-15
Frequently asked questions
- What is Claycomo Dental Group LLC's NPI number?
- Claycomo Dental Group LLC's National Provider Identifier (NPI) is 1205255460, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Claycomo Dental Group LLC?
- Claycomo Dental Group LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Claycomo Dental Group LLC located?
- Claycomo Dental Group LLC's practice location on file with NPPES is 244 E US Highway 69, Kansas City, MO 64119-3184.
- What is Claycomo Dental Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Claycomo Dental Group LLC is (816) 454-1313.
- Who is the authorized official for Claycomo Dental Group LLC?
- The authorized official listed on Claycomo Dental Group LLC's NPPES record is Bryan Shewanick, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Claycomo Dental Group LLC's NPI active?
- Yes — Claycomo Dental Group LLC's NPI (1205255460) is active in the NPPES registry as of the last update on 2014-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.