Active NPI
Thomas Alexander Dofredo, DDS
- Dentist
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2023021075
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230816001859 | MO | Order and Referring Only - Dentist | 3779945100 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swope Health Services | Past | 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.
-
- Federally Qualified Health Center (FQHC)
- Kansas City, MO
- NPI 1154796217
-
- Federally Qualified Health Center (FQHC)
- Kansas City, MO
- NPI 1285404434
-
- Federally Qualified Health Center (FQHC)
- Independence, MO
- NPI 1477648327
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.