Individual provider Active NPI

Randal Adam Silver, DMD, D.ASBA

  • General Practice Dentistry
  • Independence, MO
National Provider Identifier
1427026376
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2008035694 Issued in MO
Practice address
1638 W 24 Highway
Independence, MO 64050
Phone
(816) 461-6911
Fax
(816) 461-3675
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2008035694 MO Primary

Addresses

Primary practice location

1638 W 24 Highway
Independence, MO 64050

Mailing address

1638 W 24 Highway
Independence, MO 64050
Phone (816) 461-6911

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151005000712 MO Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0749598191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2008035694MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Matters LLC CurrentSince Aug 30, 2021 Accepting new patients

Locations

1638 W US Highway 24
Independence, MO 64050
Phone (816) 461-6911

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1427026376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 W 24 HIGHWAY",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "64050",
            "telephone_number": "816-461-6911",
            "fax_number": "816-461-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 W 24 HIGHWAY",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "64050",
            "telephone_number": "816-461-6911",
            "fax_number": "816-461-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVER",
        "first_name": "RANDAL",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DMD, D.ASBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2008035694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.