DR. RAVI JAY RAJANNA DMD
NPI 1669511010
Dentist - Orthodontics and Dentofacial Orthopedics in Lees Summit, MO

Active since February 05, 2007PECOS Enrolled
1399 NE DOUGLAS ST, LEES SUMMIT, MO 64086(816) 373-0300(816) 373-1411 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ravi Jay Rajanna Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAVI JAY RAJANNA DMD (NPI 1669511010) is an individual orthodontics and dentofacial orthopedics provider in Lees Summit, Missouri, licensed in Missouri (2005031231) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669511010
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. RAVI JAY RAJANNACredential: DMD
Location Address1399 NE DOUGLAS STLees Summit, MO 64086-4607
Mailing Address1399 Ne Douglas StLees Summit, MO 64086-4607 · (816) 373-0300 · Fax (816) 373-1411
Fax(816) 373-1411
Sole ProprietorYes
Enumeration DateFebruary 5, 2007
Last NPPES UpdateJanuary 25, 2023
NPPES CertifiedJanuary 25, 2023
NPI 1669511010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Licenses Licensed in MO · 2005031231 Licensed in IA · 09238 Licensed in KS · 60913
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentistTaxonomy 122300000X · License 2005031231 (MO)
1399 NE DOUGLAS ST, Lees Summit, MO 64086

Other Identifiers 1

Medicaid400557203MO

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Ravi Jay Rajanna Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64086 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
1399 NE DOUGLAS ST
LEES SUMMIT, MO 64086
Dentist (Orthodontics and Dentofacial Orthopedics)
1399 NE DOUGLAS ST
LEES SUMMIT, MO 64086

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ravi Rajanna's NPI number?

The NPI number for Ravi Rajanna is 1669511010. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Ravi Rajanna located?

Ravi Rajanna practices at 1399 NE Douglas St, Lees Summit, MO 64086. The listed phone number is (816) 373-0300.

What is Ravi Rajanna's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Ravi Rajanna enrolled in Medicare?

Yes. Ravi Rajanna is registered in the Medicare PECOS enrollment system.

What insurance does Ravi Rajanna accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 16 other insurers list Ravi Rajanna as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ravi Rajanna was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.