Individual provider Active NPI

Dante Carlo Pennipede, MD

  • Ophthalmology Physician
  • Overland Park, KS
National Provider Identifier
1649915059
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
94-11126 Issued in KS
Practice address
10120 W 119TH St
Overland Park, KS 66213-1600
Phone
(913) 339-9090
Fax
(913) 339-6417
NPI assigned
Apr 29, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 94-11126 KS Primary

Addresses

Primary practice location

10120 W 119TH St
Overland Park, KS 66213-1600

Mailing address

10120 W 119TH St
Overland Park, KS 66213-1600
Phone (913) 339-9090

Medicare participation

Medicare enrollment files
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.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of North Overland Park CurrentSince Aug 1, 2026 Accepting new patients
Eye Associates of Leawood PA CurrentSince Aug 1, 2026 Accepting new patients
Eye Associates of Olathe PA CurrentSince Aug 1, 2026 Accepting new patients
Eye Associates of South Olathe CurrentSince Aug 1, 2026 Accepting new patients
Eye Associates of South Overland Park CurrentSince Aug 1, 2026 Accepting new patients
Eye Associates of Shawnee PA CurrentSince Aug 1, 2026 Accepting new patients
Eye Associates of Prairie Village,PA CurrentSince Aug 1, 2026 Accepting new patients
Eye Associates of Overland Park PA PastSince Aug 1, 2026 Accepting new patients

Locations

15257 W 135th St
Olathe, KS 66062
Phone (913) 780-9696

16021 S Bradley Dr
Olathe, KS 66062
Phone (913) 339-9090

10120 W 119th St
Overland Park, KS 66213
Phone (913) 339-9090

8925 Metcalf Ave
Overland Park, KS 66212
Phone (913) 261-9985

15069 Nall Ave
Overland Park, KS 66223
Phone (913) 825-2600

8029 W 159th St
Overland Park, KS 66223
Phone (913) 339-9090

7632 State Line Rd
Prairie Vlg, KS 66208
Phone (913) 642-5000

15951 W 65th St
Shawnee, KS 66217
Phone (913) 268-9190

Organizations & group practices 8

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": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1649915059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 W 119TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131600",
            "telephone_number": "913-339-9090",
            "fax_number": "913-339-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 W 119TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131600",
            "telephone_number": "913-339-9090",
            "fax_number": "913-339-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNIPEDE",
        "first_name": "DANTE",
        "middle_name": "CARLO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-29",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "94-11126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.