Active NPI
Deaun Silva Regan, D.D.S.
- Dentist
- Parkville, MO
National Provider Identifier
1497864417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE015723
- Practice address
- 407 N. Main St
Parkville, MO 64152-3737 - Phone
- (816) 505-9445
- Fax
- (816) 741-2125
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DE015723 | MO | Primary |
Addresses
Primary practice location
407 N. Main St
Parkville, MO 64152-3737
Mailing address
407 Main St
Parkville, MO 64152-3737
Phone (816) 505-9445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 24, 2022 through Feb 24, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE015723 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Megan Perriman DDS LLC | Past | 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.
-
- Dental Clinic/Center
- Parkville, MO
- NPI 1225721053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497864417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 MAIN ST",
"city": "PARKVILLE",
"state": "MO",
"postal_code": "641523737",
"telephone_number": "816-505-9445",
"fax_number": "816-741-2125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 N. MAIN ST",
"city": "PARKVILLE",
"state": "MO",
"postal_code": "641523737",
"telephone_number": "816-505-9445",
"fax_number": "816-741-2125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGAN",
"first_name": "DEAUN",
"middle_name": "SILVA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "DE015723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parkville, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.