Organization Active NPI

Michael Vandenberg, D.D.S., P.a.

  • Dental Clinic/Center
  • Lenexa, KS
National Provider Identifier
1992821862
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MICHAEL VANDENBERG, D.D.S., P.A.
Practice address
9226 Pflumm Rd
Lenexa, KS 66215-3346
Phone
(913) 888-6220
Fax
(913) 888-8464
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael E. Vandenberg, DDS
Title
Owner
Phone
(913) 888-6220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

9226 Pflumm Rd
Lenexa, KS 66215-3346

Mailing address

9226 Pflumm Rd
Lenexa, KS 66215-3346
Phone (913) 888-6220

Other identifiers 1

IdentifierTypeStateIssuer
1376561704OtherKSINDIVIDUAL NPI NUMBER

Other names 1

  • Michael E. Vandenberg DDS Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992821862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9226 PFLUMM RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153346",
            "telephone_number": "913-888-6220",
            "fax_number": "913-888-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9226 PFLUMM RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153346",
            "telephone_number": "913-888-6220",
            "fax_number": "913-888-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL VANDENBERG, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANDENBERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-888-6220",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1376561704",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael E. Vandenberg DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.