Individual provider Active NPI

George Andrew Sroor, DDS

  • Dentist
  • Lees Summit, MO
National Provider Identifier
1215076336
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
MO13357 Issued in MO
Practice address
234 NE Tudor Dr
Lees Summit, MO 64086
Phone
(816) 554-3399
Fax
(816) 554-3582
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X MO13357 MO Primary

Addresses

Primary practice location

234 NE Tudor Dr
Lees Summit, MO 64086

Mailing address

234 NE Tudor Dr
Lees Summit, MO 64086
Phone (816) 554-3399

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MO13357MOMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215076336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 NE TUDOR DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "64086",
            "telephone_number": "816-554-3399",
            "fax_number": "816-554-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 NE TUDOR DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "64086",
            "telephone_number": "816-554-3399",
            "fax_number": "816-554-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SROOR",
        "first_name": "GEORGE",
        "middle_name": "ANDREW",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "MO13357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.