NPIMap

Organization Active NPI

Michael M Tanner, DDS, PC

  • General Practice Dentistry
  • Overland Park, KS
National Provider Identifier
1497929004
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6035 Issued in KS
Legal business name
MICHAEL M TANNER, DDS, PC
Practice address
10400 W 103Rd St
Suite 21
Overland Park, KS 66214-2640
Phone
(913) 722-0610
Fax
(913) 722-2893
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Cynthia Elliott, DDS
Title
Administrative Assistant
Phone
(913) 722-0610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6035 KS Primary

Addresses

Primary practice location

10400 W 103Rd St
Suite 21
Overland Park, KS 66214-2640

Mailing address

10400 W 103Rd St
Suite 21
Overland Park, KS 66214-2640
Phone (913) 722-0610

National Provider Directory

National Provider Directory

Locations

10400 W 103rd St
Ste 21
Overland Park, KS 66214
Phone (913) 722-0610

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1497929004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 W 103RD ST",
            "address_2": "SUITE 21",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662142640",
            "telephone_number": "913-722-0610",
            "fax_number": "913-722-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 W 103RD ST",
            "address_2": "SUITE 21",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662142640",
            "telephone_number": "913-722-0610",
            "fax_number": "913-722-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL M TANNER, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "913-722-0610",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "6035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.

Verify at the official NPI Registry.