Individual provider Active NPI

Daniel Bettis, M.D.

  • Ophthalmology Physician
  • Kansas City, MO
National Provider Identifier
1033435318
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
04-43912 Issued in KS
Practice address
5151 NW 88TH St
Kansas City, MO 64154-2700
Phone
(319) 356-2864
Fax
(319) 356-0363
NPI assigned
Apr 12, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2019017101 MO
Ophthalmology Physician 207W00000X 04-43912 KS Primary

Addresses

Primary practice location

5151 NW 88TH St
Kansas City, MO 64154-2700

Mailing address

5151 NW 88TH St
Kansas City, MO 64154-2700
Phone (319) 356-2864

Other practice location 1

1001 6th Ave Ste 100
Leavenworth, KS 66048-3248
Phone (913) 682-2900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dbettis@moyeseye.direct.eyemdemr.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.44 of 100Reported as group
Quality
95.31
Improvement activities
40
Cost
71.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-43912KSMDOphthalmology Physician

Interoperability endpoints

  • Direct secure messaging: dbettis@moyeseye.direct.eyemdemr.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1033435318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 NW 88TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641542700",
            "telephone_number": "319-356-2864",
            "fax_number": "319-356-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 NW 88TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641542700",
            "telephone_number": "319-356-2864",
            "fax_number": "319-356-0363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 6th Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "KS",
            "postal_code": "660483248",
            "country_code": "US",
            "telephone_number": "913-682-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETTIS",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-12",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2019017101",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "04-43912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbettis@moyeseye.direct.eyemdemr.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5151 NW 88th St",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641542700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.