Brendan Patrick Thomeczek, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61929 Issued in KS

Practice address

9000 State Ave
Kansas City, KS 66112-1533

Phone

(913) 299-0704

Fax

(913) 299-3008

NPI assigned

Jun 22, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1144951948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 STATE AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661121533",
            "telephone_number": "913-299-0704",
            "fax_number": "913-299-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 STATE AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661121533",
            "telephone_number": "913-299-0704",
            "fax_number": "913-299-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMECZEK",
        "first_name": "BRENDAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan McKee Thomas, M.D.
• Peyton Thomas, LMSW-T
• Regan N Thomas, APRN
• Sade Thomas
• Tashra Shanale Thomas, APRN
• Jai Thompson-Williams, CRNA
• Barbara Jean Thompson, ARNP
• Christine Annette Thompson, NP
• David Thompson
• Jacob Cooper Thompson

• General Practice Dentistry in Kansas City, KS
• Providers in Kansas City, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.