Individual provider Active NPI

Scuyler Myron Robert Kurlbaum, DDS

  • Dentist
  • Kansas City, MO
National Provider Identifier
1356870430
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2017017096 Issued in MO
Practice address
325 E 135TH St
Kansas City, MO 64145-1462
Phone
(816) 941-7788
NPI assigned
Jun 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2017017096 MO Primary

Addresses

Primary practice location

325 E 135TH St
Kansas City, MO 64145-1462

Mailing address

325 E 135TH St
Kansas City, MO 64145-1462
Phone (816) 941-7788

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
2017017096MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory a. Stiver, D.D.S., P.C. PastSince Dec 15, 2019 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1356870430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E 135TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451462",
            "telephone_number": "816-941-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E 135TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451462",
            "telephone_number": "816-941-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURLBAUM",
        "first_name": "SCUYLER",
        "middle_name": "MYRON ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-12",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2017017096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Dec 11, 2019; 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.