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DR. TANNER D BROCK DDS
NPI 1053761072
Dentist - Periodontics in Wichita, KS

Active since June 21, 2016PECOS Enrolled
2981 N. WEBB RD., WICHITA, KS 67226(316) 685-2731(316) 685-6946 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 14, 2020, Apr 7, 2020, Jan 3, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Tanner D Brock Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TANNER D BROCK DDS (NPI 1053761072) is an individual periodontics provider in Wichita, Kansas, licensed in Kansas (61221) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053761072
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. TANNER D BROCKCredential: DDS
Location Address2981 N. WEBB RD.Wichita, KS 67226
Mailing Address2981 N. Webb Rd.Wichita, KS 67226 · (316) 685-2731 · Fax (316) 685-6946
Phone(316) 685-2731
Fax(316) 685-6946
Sole ProprietorYes
Enumeration DateJune 21, 2016
Last NPPES UpdateApril 14, 20204 updates tracked since enumeration
NPPES CertifiedApril 14, 2020
✔ NPI 1053761072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in KS · 61221
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentistTaxonomy 122300000X · License 61221 (KS)
2981 N. WEBB RD., Wichita, KS 67226
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tanner D Brock Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK A MOXLEY DDS
Dentist (Periodontics)
2981 N. WEBB RD.
WICHITA, KS 67226
Sedgwick County (316) 685-2731
KANSAS PERIODONTICS & DENTAL IMPLANTS LLC
Dentist (Periodontics)
2981 N. WEBB RD.
WICHITA, KS 67226
Sedgwick County (316) 685-2731

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanner Brock's NPI number?

The NPI number for Tanner Brock is 1053761072. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Tanner Brock located?

Tanner Brock practices at 2981 N. Webb Rd., Wichita, KS 67226. The listed phone number is (316) 685-2731.

What is Tanner Brock's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Tanner Brock enrolled in Medicare?

Yes. Tanner Brock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tanner Brock was last updated on April 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.