Individual provider Active NPI

Eli Wolkoff, DDS

  • General Practice Dentistry
  • Kansas City, MO
National Provider Identifier
1558835280
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2021010387 Issued in MO
Practice address
411 Nichols Rd Ste 200
Kansas City, MO 64112-2015
Phone
(816) 531-8000
NPI assigned
Jan 16, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 2021010387 MO Primary
General Practice Dentistry 1223G0001X 61780 KS

Addresses

Primary practice location

411 Nichols Rd Ste 200
Kansas City, MO 64112-2015

Mailing address

301 E Armour Blvd Apt 501
Kansas City, MO 64111-1254
Phone (201) 274-4265

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
61780KSMDGeneral Practice Dentistry
2021010387MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wolkoff Dentistry LLC CurrentSince May 25, 2025 Accepting new patients
Murphy and Associates Dental, LLP CurrentSince Feb 1, 2022 Accepting new patients

Locations

411 Nichols Rd
Ste 200
Kansas City, MO 64112
Phone (816) 531-8000

Organizations & group practices 2

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": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1558835280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E ARMOUR BLVD APT 501",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641111254",
            "telephone_number": "201-274-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 NICHOLS RD STE 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641122015",
            "telephone_number": "816-531-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLKOFF",
        "first_name": "ELI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-16",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2021010387",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61780",
            "primary": false
        }
    ],
    "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 Jan 27, 2022; 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.