Individual provider Active NPI

Tanna Blair Kuhnert, DMD

  • General Practice Dentistry
  • Saint Joseph, MO
National Provider Identifier
1639748627
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2021021368 Issued in MO
Practice address
2618 N Belt Hwy
Saint Joseph, MO 64506-2003
Phone
(816) 364-6467
NPI assigned
Jun 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 61886 KS
General Practice Dentistry 1223G0001X 2021021368 MO Primary

Addresses

Primary practice location

2618 N Belt Hwy
Saint Joseph, MO 64506-2003

Mailing address

478 160TH Rd
Denton, KS 66017-4087
Phone (816) 262-6299

Other practice location 1

3349B Thrasher Rd
White Cloud, KS 66094-4005
Phone (785) 595-3450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220331000134 TX Practitioner - Dentist 5890181812 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61886KSMDGeneral Practice Dentistry
2021021368MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
White Cloud Health Center, LLC CurrentSince Dec 21, 2021 Accepting new patients
Troy Smiles, LLC Current Accepting new patients

Locations

3349B Thrasher Rd
White Cloud, KS 66094
Phone (785) 595-3450

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": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1639748627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 160TH RD",
            "city": "DENTON",
            "state": "KS",
            "postal_code": "660174087",
            "telephone_number": "816-262-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 N BELT HWY",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062003",
            "telephone_number": "816-364-6467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3349B Thrasher Rd",
            "address_purpose": "LOCATION",
            "city": "White Cloud",
            "state": "KS",
            "postal_code": "660944005",
            "country_code": "US",
            "telephone_number": "785-595-3450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUHNERT",
        "first_name": "TANNA",
        "middle_name": "BLAIR",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61886",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2021021368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.