Individual provider Active NPI

Thomas Alexander Dofredo, DDS

  • Dentist
  • Kansas City, MO
National Provider Identifier
1548907355
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2023021075 Issued in MO
Practice address
3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130-2807
Phone
(816) 923-5800
Fax
(816) 923-3801
NPI assigned
May 13, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2023021075 MO Primary

Addresses

Primary practice location

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130-2807

Mailing address

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130-2807
Phone (816) 923-5800

Other practice location 1

6406 E 87th St
Kansas City, MO 64138-2800
Phone (816) 321-3200

Other practice location 2

11320 E Truman Rd
Independence, MO 64050-2564
Phone (816) 599-5201

Other practice location 3

500 N Jesse James Rd
Excelsior Springs, MO 64024-3614
Phone (816) 321-3240

Other practice location 4

2906 NW Vivion Rd
Kansas City, MO 64150-1502
Phone (816) 599-5051

Other practice location 5

6801 Holmes Rd
Kansas City, MO 64131-1382
Phone (816) 923-5800

Other practice location 6

3039 Troost Ave
Kansas City, MO 64109-1540
Phone (816) 923-5800

Other practice location 7

204 E North Ave
Belton, MO 64012-2013
Phone (816) 599-5170

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
I20230816001859 MO Order and Referring Only - DentistPractitioner - Dentist 3779945100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Swope Health Services PastSince Nov 26, 2023 Accepting new patients
Swope Health Services Past Accepting new patients
Swope Health Services 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.

NPI Registry JSON

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1548907355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 DR MARTIN LUTHER KING JR BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641302807",
            "telephone_number": "816-923-5800",
            "fax_number": "816-923-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 DR MARTIN LUTHER KING JR BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641302807",
            "telephone_number": "816-923-5800",
            "fax_number": "816-923-3801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6406 E 87th St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641382800",
            "country_code": "US",
            "telephone_number": "816-321-3200",
            "fax_number": "816-599-5929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11320 E Truman Rd",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640502564",
            "country_code": "US",
            "telephone_number": "816-599-5201",
            "fax_number": "816-599-5201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Jesse James Rd",
            "address_purpose": "LOCATION",
            "city": "Excelsior Springs",
            "state": "MO",
            "postal_code": "640243614",
            "country_code": "US",
            "telephone_number": "816-321-3240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2906 NW Vivion Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641501502",
            "country_code": "US",
            "telephone_number": "816-599-5051",
            "fax_number": "816-599-5961",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6801 Holmes Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641311382",
            "country_code": "US",
            "telephone_number": "816-923-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3039 Troost Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641091540",
            "country_code": "US",
            "telephone_number": "816-923-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 E North Ave",
            "address_purpose": "LOCATION",
            "city": "Belton",
            "state": "MO",
            "postal_code": "640122013",
            "country_code": "US",
            "telephone_number": "816-599-5170",
            "fax_number": "816-599-5993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOFREDO",
        "first_name": "THOMAS",
        "middle_name": "ALEXANDER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-13",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2023021075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.