Individual provider Active NPI

Daniel Michael Margolis, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Mansfield, TX
National Provider Identifier
1700235207
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
37144 Issued in TX
Practice address
1752 Broad Park Cir N Ste 100
Mansfield, TX 76063-7824
Phone
(714) 651-2728
NPI assigned
Jun 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2016017198 MO
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2016017198 MO
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 37144 TX Primary

Addresses

Primary practice location

1752 Broad Park Cir N Ste 100
Mansfield, TX 76063-7824

Mailing address

1208 NE Windsor Dr
Lees Summit, MO 64086-5594
Phone (714) 651-2728

Other practice location 1

1208 NE Windsor Dr
Lees Summit, MO 64086-5594
Phone (714) 651-2728

Other practice location 2

2301 Holmes St
D&TC Bldg 5th Floor Dept of OMFS
Kansas City, MO 64108-2640
Phone (816) 404-4356

Other practice location 3

2401 Gillham Rd
Kansas City, MO 64108-4619
Phone (816) 234-3000

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
I20170906002528 MO Practitioner - Oral Surgery 1456646249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.53 of 100Reported as group
Quality
59.66
Promoting interoperability
100
Improvement activities
40
Cost
74.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016017198MOMDDentist
37144TXMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Swope Health Services CurrentSince Jul 9, 2017 Accepting new patients
University Health Physicians CurrentSince Oct 17, 2022 Accepting new patients
Swope Health Services CurrentSince Jul 9, 2017 Accepting new patients

Locations

17844 E 23rd St S
Independence, MO 64057
Phone (816) 257-9716

4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201

2401 Gillham Rd
Kansas City, MO 64108
Phone (816) 234-3380

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone (816) 599-5500

2301 Holmes St
Kansas City, MO 64108

2101 Charlotte St
Ste 110
Kansas City, MO 64108
Phone (816) 404-4633

2301 Holmes St
Bldg 5TH
Kansas City, MO 64108
Phone (816) 404-4356

2101 Charlotte St
Ste 350
Kansas City, MO 64108
Phone (816) 404-0550

1208 NE Windsor Dr
Lees Summit, MO 64086
Phone (816) 524-4334

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": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1700235207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 NE WINDSOR DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865594",
            "telephone_number": "714-651-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 BROAD PARK CIR N STE 100",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637824",
            "telephone_number": "714-651-2728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1208 NE Windsor Dr",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640865594",
            "country_code": "US",
            "telephone_number": "714-651-2728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 Holmes St",
            "address_2": "D&TC Bldg 5th Floor Dept of OMFS",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641082640",
            "country_code": "US",
            "telephone_number": "816-404-4356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 Gillham Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641084619",
            "country_code": "US",
            "telephone_number": "816-234-3000",
            "fax_number": "816-302-9939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARGOLIS",
        "first_name": "DANIEL",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2016017198",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "2016017198",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "37144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.