Individual provider Active NPI

Michael Conrad Journee, D.D.S.

  • General Practice Dentistry
  • Kansas City, MO
National Provider Identifier
1689892580
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
015901 Issued in MO
Practice address
4910 NE 81St St
Kansas City, MO 64119-8400
Phone
(816) 420-9070
NPI assigned
Apr 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 60842 KS
General Practice Dentistry 1223G0001X 015901 MO Primary

Addresses

Primary practice location

4910 NE 81St St
Kansas City, MO 64119-8400

Mailing address

4910 NE 81St St
Kansas City, MO 64119-8400
Phone (816) 420-9070

Other practice location 1

726 Shawnee St
Leavenworth, KS 66048-1804
Phone (913) 682-2595

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: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 11, 2015 through May 11, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60842KSMDGeneral Practice Dentistry
015901MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
M. Conrad Journee, DDS, LLC General Practice Past Accepting new patients
Carriage Family Dental, PA General Practice PastSince May 16, 2021 Accepting new patients

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, 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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1689892580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 NE 81ST ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641198400",
            "telephone_number": "816-420-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 NE 81ST ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641198400",
            "telephone_number": "816-420-9070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "726 Shawnee St",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "KS",
            "postal_code": "660481804",
            "country_code": "US",
            "telephone_number": "913-682-2595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOURNEE",
        "first_name": "MICHAEL",
        "middle_name": "CONRAD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60842",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "015901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.