Individual provider Active NPI

Dawn L Berkvam, D.D.S

  • Dentist
  • Kansas City, MO
National Provider Identifier
1679608145
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14123 Issued in MO
Practice address
1010 Walnut St
Suite 280
Kansas City, MO 64106-2171
Phone
(816) 474-9131
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14123 MO Primary
Dentist 122300000X 60379 KS

Addresses

Primary practice location

1010 Walnut St
Suite 280
Kansas City, MO 64106-2171

Mailing address

1010 Walnut St
Suite 280
Kansas City, MO 64106-2171
Phone (816) 474-9131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20200527001888 MO Practitioner - Dentist 3072823640 Practice locations: Kansas City, MO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60379KSMDDentist
14123MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dawn Berkvam D.D.S. P.C. Dentist Past Accepting new patients
Smiles of Kansas City Past Accepting new patients
Radiant Grin Solutions LLC PastSince Jun 23, 2025 Accepting new patients

Organizations & group practices 3

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679608145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 WALNUT ST",
            "address_2": "SUITE 280",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641062171",
            "telephone_number": "816-474-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WALNUT ST",
            "address_2": "SUITE 280",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641062171",
            "telephone_number": "816-474-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKVAM",
        "first_name": "DAWN",
        "middle_name": "L",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "14123",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "60379",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.