Individual provider Active NPI

Steven Wayne Blum Jr., D.D.S.

  • Dentist
  • Independence, MO
National Provider Identifier
1043287071
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2022007951 Issued in MO
Practice address
3151 S State Route 291
Independence, MO 64057-2602
Phone
(816) 373-5606
Fax
(816) 373-7042
NPI assigned
Mar 8, 2006
Last updated
Jan 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2022007951 MO Primary
Dentist 122300000X 60323 KS

Addresses

Primary practice location

3151 S State Route 291
Independence, MO 64057-2602

Mailing address

3151 S State Route 291
Independence, MO 64057-2602
Phone (816) 373-5606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250407000989 MO Practitioner - Dentist 7517248412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Iowa College of Dentistry, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3151 S State Route 291
Independence, MO 64057-2602
Phone (816) 373-3444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60323KSMDDentist
2022007951MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Sleep Remedies LLC General Practice CurrentSince Jan 6, 2025 Accepting new patients
New Horizons Dental Care Dentist Past Accepting new patients
Robert N Hanson DDS PC Dentist PastSince Sep 21, 2025 Accepting new patients
New Horizons Dental Care of Lenexa PA Dentist Past Accepting new patients

Locations

3151 S State Route 291
Independence, MO 64057
Phone (816) 373-3444

3151 S State Route 291
Ste A
Independence, MO 64057
Phone (816) 373-5606

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1043287071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 S STATE ROUTE 291",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572602",
            "telephone_number": "816-373-5606",
            "fax_number": "816-373-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 S STATE ROUTE 291",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572602",
            "telephone_number": "816-373-5606",
            "fax_number": "816-373-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "STEVEN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2022007951",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "60323",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.