Individual provider Active NPI

Thomas J Mazuranic, DDS

  • Dentist
  • Belton, MO
National Provider Identifier
1801236708
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2013016370 Issued in MO
Practice address
17049 Bel Ray Blvd
Belton, MO 64012-5371
Phone
(816) 322-6551
Fax
(816) 322-5819
NPI assigned
Jun 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2013016370 MO Primary

Addresses

Primary practice location

17049 Bel Ray Blvd
Belton, MO 64012-5371

Mailing address

17049 Bel Ray Blvd
Belton, MO 64012-5371
Phone (816) 322-6551

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
2013016370MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kirby J. Robinson, DDS of Missouri, LLC Dentist 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": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1801236708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17049 BEL RAY BLVD",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640125371",
            "telephone_number": "816-322-6551",
            "fax_number": "816-322-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17049 BEL RAY BLVD",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640125371",
            "telephone_number": "816-322-6551",
            "fax_number": "816-322-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZURANIC",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2013016370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.