John Nicholas Dane, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEO12651 Issued in MO

Practice address

501 NW Obrien Rd
Lees Summit, MO 64063-1835

Phone

(816) 525-5218

Fax

(816) 525-5218

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: john.dane@direct.tmcmed.org

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.

• Truman Medical Centers, Inc.

  • Home Health Agency
  • Kansas City, MO
  • NPI 1487797759
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376565093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 NW OBRIEN RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631835",
            "telephone_number": "816-525-5218",
            "fax_number": "816-525-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NW OBRIEN RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631835",
            "telephone_number": "816-525-5218",
            "fax_number": "816-525-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANE",
        "first_name": "JOHN",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "DEO12651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenae Daines, R.N.
• Kelvin Dam, RD
• Quyen Dam, M.D.
• Jennifer Dampf
• Patricia Dandache, M.D.
• Lisa Dangler
• Daniel J Thomas, DDS Periodontal Specialists, PC
• Daniel J. Duello D.D.S.
• Ashley Marie Daniels, LPN
• David E Orson, OD, PC

• General Practice Dentistry in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• General Practice Dentistry in Missouri

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.