Active NPI
Dylan Dufour, DDS
- Student in an Organized Health Care Education/Training Program
- Kansas City, MO
National Provider Identifier
1972242667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2101 Charlotte St
Kansas City, MO 64108-2727 - Phone
- (816) 404-2222
- Fax
- (304) 293-3674
- NPI assigned
- Jun 1, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
2101 Charlotte St
Kansas City, MO 64108-2727
Mailing address
4900 Wren CT
Frederick, CO 80504-3442
Phone (720) 331-3541
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
Interoperability endpoints
- ddufour661042@direct.saint-lukes.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1972242667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 WREN CT",
"city": "FREDERICK",
"state": "CO",
"postal_code": "805043442",
"telephone_number": "720-331-3541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 CHARLOTTE ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082727",
"telephone_number": "816-404-2222",
"fax_number": "304-293-3674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFOUR",
"first_name": "DYLAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-01",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.