NPIMap

Individual provider Active NPI

Jeffrey J. Dyer, M.D.

  • Family Medicine Physician
  • Kansas City, MO
National Provider Identifier
1649215260
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2019046565 Issued in MO
Practice address
5400 N Oak Trfy Ste 200
Kansas City, MO 64118-4690
Phone
(816) 453-0900
Fax
(816) 453-3895
NPI assigned
Jun 18, 2006
Last updated
Feb 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G85883 CA
Family Medicine Physician 207Q00000X 2019046565 MO Primary

Addresses

Primary practice location

5400 N Oak Trfy Ste 200
Kansas City, MO 64118-4690

Mailing address

9411 N. Oak Trafficway, LL1
LL1
Kansas City, MO 64155-8582
Phone (816) 691-1655

Other identifiers 1

IdentifierTypeStateIssuer
G85883OtherCACA MED LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050912000399 CA Practitioner - Family Practice 8325071350 Reassigns benefits to 1 organization
I20230222001413 MO Practitioner - Family Practice 8325071350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Uniformed Services Uhs Fe Hebert School of Med, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians

Practice addresses (Care Compare)

5400 N Oak Trfy
Suite 200
Kansas City, MO 64118-4690
Phone (816) 453-0900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G85883CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation Family Medicine CurrentSince Mar 15, 2023 Accepting new patients
Meritashealth Corporation Family Medicine Current Accepting new patients
Meritas Health Corporation CurrentSince Mar 15, 2023 Accepting new patients
Meritas Health Corporation Family Medicine Current Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Meritas Health Corporation Family Medicine Past Accepting new patients

Locations

5400 N Oak Trfy
Ste 200
Kansas City, MO 64118
Phone (816) 453-0900

9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1649215260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9411 N. OAK TRAFFICWAY, LL1",
            "address_2": "LL1",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641558582",
            "telephone_number": "816-691-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 N OAK TRFY STE 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184690",
            "telephone_number": "816-453-0900",
            "fax_number": "816-453-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "JEFFREY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G85883",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2019046565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MED LIC",
            "identifier": "G85883",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.