Individual provider Active NPI

Tucker J Vanyperen, D.M.D.

  • General Practice Dentistry
  • North Kansas City, MO
National Provider Identifier
1710324645
Registry record updated Jun 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2013015430 Issued in MO
Practice address
2000 Swift Ave
North Kansas City, MO 64116-3424
Phone
(816) 471-2911
NPI assigned
Jun 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2013015430 MO Primary

Addresses

Primary practice location

2000 Swift Ave
North Kansas City, MO 64116-3424

Mailing address

8664 NE 97TH Ter
Kansas City, MO 64157-7618
Phone (801) 472-3596

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
I20181119000511 MO Order and Referring Only - DentistPractitioner - Dentist 6608120290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2013015430MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
North Kansas City Dental General Practice 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370044800000",
    "number": "1710324645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8664 NE 97TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641577618",
            "telephone_number": "801-472-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SWIFT AVE",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163424",
            "telephone_number": "816-471-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANYPEREN",
        "first_name": "TUCKER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-01",
        "last_updated": "2013-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2013015430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.