Individual provider Active NPI

Todd M O'Neil, DDS

  • Dentist
  • Overland Park, KS
National Provider Identifier
1942411764
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6328 Issued in KS
Practice address
6300 W. 143Rd St.
Ste #110
Overland Park, KS 66223
Phone
(913) 338-3443
Fax
(913) 239-9488
NPI assigned
May 24, 2007
Last updated
Jun 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6328 KS Primary

Addresses

Primary practice location

6300 W. 143Rd St.
Ste #110
Overland Park, KS 66223

Mailing address

6300 W. 143Rd St. Ste #110
Overland Park, KS 66223
Phone (913) 338-3443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20150522001526 KS Order and Referring Only - DentistPractitioner - Dentist 0446570998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
GPS BVS, LLC PastSince Oct 24, 2021 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, 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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1942411764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 W. 143RD ST. STE #110",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66223",
            "telephone_number": "913-338-3443",
            "fax_number": "913-239-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 W. 143RD ST.",
            "address_2": "STE #110",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66223",
            "telephone_number": "913-338-3443",
            "fax_number": "913-239-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEIL",
        "first_name": "TODD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "6328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.