Individual provider Active NPI

Daniel D Domsch, DDS

  • Dentist
  • Kansas City, KS
National Provider Identifier
1659723377
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61213 Issued in KS
Practice address
8919 Parallel Pkwy Ste 309
Kansas City, KS 66112-1655
Phone
(913) 299-0704
Fax
(913) 299-3008
NPI assigned
Jul 6, 2016
Last updated
Jul 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 61213 KS Primary

Addresses

Primary practice location

8919 Parallel Pkwy Ste 309
Kansas City, KS 66112-1655

Mailing address

8919 Parallel Pkwy Ste 309
Kansas City, KS 66112-1655
Phone (913) 299-0704

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
61213KSMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven D. Pendleton DDS PA Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1659723377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8919 PARALLEL PKWY STE 309",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661121655",
            "telephone_number": "913-299-0704",
            "fax_number": "913-299-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8919 PARALLEL PKWY STE 309",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661121655",
            "telephone_number": "913-299-0704",
            "fax_number": "913-299-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMSCH",
        "first_name": "DANIEL",
        "middle_name": "D",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.