MEDICARE: DR. GERARD R FELDHAUS DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	MO13663	MO

General Provider Information

NPI Number	:	1023234531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERARD R FELDHAUS DDS

Provider Business Mailing Address
First Line	:	711 WESTWOODS DRIVE
Second Line	:
City	:	LIBERTY
State	:	MO
Zip	:	64068-3459
Country	:	US
Telephone Number	:	816-792-2372
Fax Number	:

Provider Business Practice Location Address
First Line	:	415 E 69 HIGHWAY
Second Line	:
City	:	CLAYCOMO
State	:	MO
Zip	:	64119
Country	:	US
Telephone Number	:	816-454-0377
Fax Number	:	816-454-9996

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1083648711 — VILLAGE OF CLAYCOMO
Practice Location Address:

333 E 69 HIGHWAY
CLAYCOMO, MO
64119

Practice Phone: 816-452-4612
Practice Fax:

1639268972 — JAMES B THEILEN DDS &JERRY E THEILEN DDS PC
Practice Location Address:

244 E US HIGHWAY 69 , SUITE 101
CLAYCOMO, MO
64119-3115

Practice Phone: 816-454-1313
Practice Fax: 816-454-5377

1437342417 — DR. JERRY EDWARD THEILEN DDS
Practice Location Address:

244 E US 69 HWY , SUITE 101
CLAYCOMO, MO
64119-3115

Practice Phone: 816-454-1313
Practice Fax: 816-454-5377

1508273939 — MORGAN SHOCKEY DDS
Practice Location Address:

244 E US HWY 69 , STE 101
CLAYCOMO, MO
64119

Practice Phone: 816-454-1313
Practice Fax:

1669002747 — CASEY WALLIS LCPC
Practice Location Address:

32 S MIRIAM ST APT 6
CLAYCOMO, MO
64119-3141

Practice Phone: 816-701-9519
Practice Fax:

1063170561 — DR. SARAH ELIZABETH NOBLE PHARMD
Practice Location Address:

358 E US HIGHWAY 69
CLAYCOMO, MO
64119-3117

Practice Phone: 816-413-0079
Practice Fax:

Directions to “ DR. GERARD R FELDHAUS DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.