Active NPI
Stephen Wayne Brumit, DDS
- Endodontics
- Lees Summit, MO
National Provider Identifier
1235150913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 14529
- Practice address
- 519 SW 3Rd St
Suite E
Lees Summit, MO 64063-2258 - Phone
- (816) 554-0022
- Fax
- (816) 554-0052
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 14529 | MO | Primary |
Addresses
Primary practice location
519 SW 3Rd St
Suite E
Lees Summit, MO 64063-2258
Mailing address
519 SW 3Rd St
Suite E
Lees Summit, MO 64063-2258
Phone (816) 554-0022
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14529 | MO | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235150913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 SW 3RD ST",
"address_2": "SUITE E",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640632258",
"telephone_number": "816-554-0022",
"fax_number": "816-554-0052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 SW 3RD ST",
"address_2": "SUITE E",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640632258",
"telephone_number": "816-554-0022",
"fax_number": "816-554-0052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUMIT",
"first_name": "STEPHEN",
"middle_name": "WAYNE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MO",
"license": "14529",
"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.