Active NPI
David A Deer, M.D.
- Specialist
- Lawrence, KS
National Provider Identifier
1437200482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 04-14419
- Practice address
- 330 Arkansas St
Suite 120
Lawrence, KS 66044-1335 - Phone
- (785) 749-3600
- Fax
- (785) 749-3621
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 04-14419 | KS | Primary |
Addresses
Primary practice location
330 Arkansas St
Suite 120
Lawrence, KS 66044-1335
Mailing address
16630 S Country Club CT
Village of Loch Lloyd, MO 64012-3376
Phone (816) 425-4931
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060604 | Other | KS | BSKS |
| 100202800A | Medicaid | KS | |
| 2450136 | Other | UHC | |
| 10765 | Other | COVENTRY | |
| 10098026 | Other | KS | BSKC |
| 10098026 | Other | PHP | |
| 300016981 | Other | MEDICARE RAILROAD | |
| CIGNA | Other | 025 | |
| 10001646800 | Other | COMMUNITY HEALTH PLAN | |
| 85489 | Other | AETNA | |
| A001 | Other | TRI-CARE CHAMPUS |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14419 | KS | MD | Social Worker |
| 04-14419 | KS | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas City Cancer Center, LLC | Past | Accepting new patients | |
| Radiation Oncologists PC | Specialist | Past | Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Specialist
- Lawrence, KS
- NPI 1093774788
-
- Medical Oncology Physician
- Overland Park, KS
- NPI 1003864471
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219968000000",
"number": "1437200482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16630 S COUNTRY CLUB CT",
"city": "VILLAGE OF LOCH LLOYD",
"state": "MO",
"postal_code": "640123376",
"telephone_number": "816-425-4931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 ARKANSAS ST",
"address_2": "SUITE 120",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660441335",
"telephone_number": "785-749-3600",
"fax_number": "785-749-3621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEER",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2008-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KS",
"license": "04-14419",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSKS",
"identifier": "060604",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100202800A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "2450136",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "10765",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSKC",
"identifier": "10098026",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "10098026",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "300016981",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "025",
"identifier": "CIGNA",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY HEALTH PLAN",
"identifier": "10001646800",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "85489",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRI-CARE CHAMPUS",
"identifier": "A001",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.