Individual provider Active NPI

Michael J Dostal, DDS

  • Dentist
  • Shawnee, KS
National Provider Identifier
1689908634
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60656 Issued in KS
Practice address
6840 Silverheel St
Shawnee, KS 66226-5300
Phone
(913) 322-6455
Fax
(913) 322-6475
NPI assigned
Sep 23, 2009
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60656 KS Primary

Addresses

Primary practice location

6840 Silverheel St
Shawnee, KS 66226-5300

Mailing address

6840 Silverheel St
Shawnee, KS 66226-5300
Phone (913) 322-6455

Other practice location 1

3555 NE Ralph Powell Rd
Lees Summit, MO 64064-2360
Phone (816) 347-9933

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
60656KSMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dostal Dental LLC Current Accepting new patients
KC Dental Co LLC CurrentSince Apr 20, 2025 Accepting new patients
Michael J Dostal DDS, LLC Past Accepting new patients

Locations

3555 NE Ralph Powell Rd
Lees Summit, MO 64064
Phone (816) 347-9933

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, 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": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1689908634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 SILVERHEEL ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662265300",
            "telephone_number": "913-322-6455",
            "fax_number": "913-322-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 SILVERHEEL ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662265300",
            "telephone_number": "913-322-6455",
            "fax_number": "913-322-6475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3555 NE Ralph Powell Rd",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640642360",
            "country_code": "US",
            "telephone_number": "816-347-9933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOSTAL",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-23",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "60656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.