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ANTIOCH DENTISTRY
NPI 1720490261
Dentist - General Practice in Merriam, KS

Active since June 02, 2014CLIA 17D2336922 · Waiver
5754 ANTIOCH RD, MERRIAM, KS 66202(913) 671-7066(913) 671-7058 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Antioch Dentistry NPPES

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

ANTIOCH DENTISTRY (NPI 1720490261) is a healthcare organization registered as a general practice in Merriam, Kansas and active in the NPI registry since June 2014. The organization holds a CLIA Waiver certificate valid through January 12, 2028 and lists Taylor Sutherland, Owner, as its authorized official.

NPPES Registry Identity

NPI1720490261
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameANTIOCH DENTISTRY PA
Location Address5754 ANTIOCH RDMerriam, KS 66202-2015
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8890 · Fax (949) 474-1495
Phone(913) 671-7066
Fax(913) 671-7058
Organization SubpartNo
Authorized OfficialTaylor SutherlandOwner · (913) 671-7066
Enumeration DateJune 2, 2014
Last NPPES UpdateMay 11, 2022
NPPES CertifiedMay 11, 2022
✔ NPI 1720490261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5754 ANTIOCH RD, Merriam, KS 66202
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Other Names 1

Doing Business AsAntioch Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D2336922

Antioch Dentistry · Merriam, KS
Active · expires Jan 12, 2028
CLIA Number17D2336922
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 13, 2026
Certificate Expiration DateJanuary 12, 2028
Laboratory DirectorTaylor Sutherland
Laboratory Phone(913) 671-7066
Laboratory LocationAntioch Dentistry5754 Antioch Rd, Merriam, KS 66202
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

DR. OLUDAMILOLA ADETOKUNBO ADEMIDUN DDS
Dentist (General Practice)
5754 ANTIOCH RD
MERRIAM, KS 66202
Johnson County (913) 671-7066
DR. MEGAN BIERLE DDS
Dentist (General Practice)
5754 ANTIOCH RD
MERRIAM, KS 66202
Johnson County (913) 671-7066
DAN HAWLEY DDS
Dentist (General Practice)
5754 ANTIOCH RD
MERRIAM, KS 66202
Johnson County (913) 671-7066
TAYLOR SUTHERLAND DDS
Dentist
5754 ANTIOCH RD
MERRIAM, KS 66202
Johnson County (913) 671-7066
DR. JEREMY JOHNSTON DMD
Dentist (General Practice)
5754 ANTIOCH RD
MERRIAM, KS 66202
Johnson County (913) 671-7066
MOLLY KATHERINE SHUMARD
Dentist
5754 ANTIOCH RD
MERRIAM, KS 66202
Johnson County (913) 671-7066
DR. JEFFREY DAVIS ANDERSON D.D.S.
Dentist
5754 ANTIOCH RD
MERRIAM, KS 66202
Johnson County (913) 671-7066
ROBERT FECHNER D.D.S.
Dentist
5754 ANTIOCH RD
MERRIAM, KS 66202
Johnson County (913) 671-7066

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 Antioch Dentistry PA's NPI number?

The NPI number for Antioch Dentistry PA is 1720490261. It was assigned to this organization in the NPPES registry on June 2, 2014. The provider is doing business as Antioch Dentistry.

Where is Antioch Dentistry PA located?

Antioch Dentistry PA is located at 5754 Antioch Rd, Merriam, KS 66202. The listed phone number is (913) 671-7066.

What is Antioch Dentistry PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Does Antioch Dentistry PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2336922) is associated with this NPI, valid through January 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Antioch Dentistry PA accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma list Antioch Dentistry PA 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 Antioch Dentistry PA was last updated on May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.