MR. DWIGHT EISENMAN
NPI 1447690441
Counselor - Professional in Kansas City, MO

Q: What is Dwight Eisenman's NPI number?

The NPI number for Dwight Eisenman is 1447690441. It was assigned to this individual provider in the NPPES registry on July 5, 2013.

Q: What is Dwight Eisenman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Dwight Eisenman was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 05, 2013PECOS Enrolled

3211 WOODLAND AVE, KANSAS CITY, MO 64109(816) 966-0900(816) 554-4370 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2024, Apr 15, 2024 (2 updates tracked since 2024).

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About Mr. Dwight Eisenman NPPES

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

MR. DWIGHT EISENMAN (NPI 1447690441) is an individual professional provider in Kansas City, Missouri, licensed in Kansas (03669) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Overland Park.

NPPES Registry Identity

NPI1447690441

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. DWIGHT EISENMAN

Location Address3211 WOODLAND AVEKansas City, MO 64109-2073

Mailing Address1555 Ne Rice RdLees Summit, MO 64086-5849 · (816) 347-3069

Phone(816) 966-0900

Fax(816) 554-4370

Sole ProprietorYes

Enumeration DateJuly 5, 2013

Last NPPES UpdateOctober 2, 20242 updates tracked since enumeration

NPPES CertifiedOctober 2, 2024

✔ NPI 1447690441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in KS · 03669

Also ListedCounselorTaxonomy 101Y00000X · License 2023006572 (MO), MH12117 (FL)

3211 WOODLAND AVE, Kansas City, MO 64109

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Secondary Practice Location 1

Location 17818 Conser StOverland Park, KS 66204-2827 · Phone (954) 235-2580

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Dwight Eisenman 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.

Other Providers at the Same Location NPPES 20

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

DHRUTI UMANG SHAH

Counselor (Professional)