John P Tanner, DDS MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DEO15216-DENTAL Issued in MO

Practice address

4700 Belleview
Ste L 10
Kansas City, MO 64112-1360

Phone

(816) 561-1115

Fax

(816) 931-7912

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 23, 2009 through Oct 23, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Facial Surgery Group PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Kansas City, MO
  • NPI 1194745620
  NPD (past)
• Kansas City Cleft and Craniofacial Center PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Overland Park, KS
  • NPI 1073258414
  NPD (past)
• Oral & Facial Surgery Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Prairie Village, KS
  • NPI 1023027836
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588674642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802752",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641800001",
            "telephone_number": "816-561-1115",
            "fax_number": "816-753-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 BELLEVIEW",
            "address_2": "STE L 10",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121360",
            "telephone_number": "816-561-1115",
            "fax_number": "816-931-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "DEO15216-DENTAL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KCMO",
            "identifier": "16670147",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Quyen Tang-Beltran, D.O
• Eddy L Tankersley, PHARM.D.
• Chloe Tannenbaum
• David Tanner, RPH
• David A Tanner, DO
• Rosalind Tanner, LSCSW
• Billy Tanui
• Gladys Jemutai Tanui, NP-C
• Sara Michelle Tanus, RN
• Fang Tao, MO

• Oral and Maxillofacial Surgery (Dentist) in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Missouri

• 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; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.