IndividualActive
Randal Otis, DMD
NPI 1629683925 · Dentist · Kansas City, MO
Randal Otis, DMD is a Dentist provider in Kansas City, MO (NPI 1629683925).
Provider details
- NPI number
- 1629683925
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- DN016113 (GA)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
650 E 25th St
Kansas City, MO 64108-2716
Phone: (816) 235-2177
Street-level locationGet directions
Mailing address
301 E Armour Blvd Apt 306
Kansas City, MO 64111-1255
Additional practice locations (1)
- 938 W Church StJasper, GA 30143-1496Phone: (706) 862-1769
Registry dates
- Enumerated
- 2020-09-14
- Last updated
- 2021-06-15
- Certified
- 2021-06-15
Frequently asked questions
- What is Randal Otis's NPI number?
- Randal Otis's National Provider Identifier (NPI) is 1629683925, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Randal Otis's specialty?
- Randal Otis is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Randal Otis located?
- Randal Otis's practice location on file with NPPES is 650 E 25th St, Kansas City, MO 64108-2716.
- What is Randal Otis's phone number?
- The practice phone number listed in the NPPES registry for Randal Otis is (816) 235-2177.
- Is Randal Otis's NPI active?
- Yes — Randal Otis's NPI (1629683925) is active in the NPPES registry as of the last update on 2021-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.