THOMAS ALEXANDER DOFREDO DDS
NPI 1548907355
Dentist in Kansas City, MO

Q: What is Thomas Dofredo's NPI number?

The NPI number for Thomas Dofredo is 1548907355. It was assigned to this individual provider in the NPPES registry on May 13, 2022.

Q: What is Thomas Dofredo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Dofredo was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 13, 2022PECOS Enrolled

3801 DR MARTIN LUTHER KING JR BLVD, KANSAS CITY, MO 64130(816) 923-5800(816) 923-3801 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 26, 2026, Apr 24, 2026, Mar 20, 2026 and 5 more (8 updates tracked since 2022).

On this page

About Thomas Alexander Dofredo Dds NPPES

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

THOMAS ALEXANDER DOFREDO DDS (NPI 1548907355) is an individual dentist in Kansas City, Missouri, licensed in Missouri (2023021075) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1548907355

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameTHOMAS ALEXANDER DOFREDOCredential: DDS

Location Address3801 DR MARTIN LUTHER KING JR BLVDKansas City, MO 64130-2807

Mailing Address3801 Dr Martin Luther King Jr BlvdKansas City, MO 64130-2807 · (816) 923-5800 · Fax (816) 923-3801

Phone(816) 923-5800

Fax(816) 923-3801

Sole ProprietorNo

Enumeration DateMay 13, 2022

Last NPPES UpdateJune 15, 20268 updates tracked since enumeration

NPPES CertifiedJune 15, 2026

✔ NPI 1548907355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MO · 2023021075

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3801 DR MARTIN LUTHER KING JR BLVD, Kansas City, MO 64130

Open in Google Maps ↗

Secondary Practice Locations 7

Location 12906 NW Vivion RdKansas City, MO 64150-1502 · Phone (816) 599-5051 · Fax (816) 599-5961

Location 211320 E Truman RdIndependence, MO 64050-2564 · Phone (816) 599-5201 · Fax (816) 599-5201

Location 3500 N Jesse James RdExcelsior Springs, MO 64024-3614 · Phone (816) 321-3240

Location 46801 Holmes RdKansas City, MO 64131-1382 · Phone (816) 923-5800

Location 53039 Troost AveKansas City, MO 64109-1540 · Phone (816) 923-5800

Location 66406 E 87th StKansas City, MO 64138-2800 · Phone (816) 321-3200 · Fax (816) 599-5929

Location 7204 E North AveBelton, MO 64012-2013 · Phone (816) 599-5170 · Fax (816) 599-5993

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)

Thomas Alexander Dofredo 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 64130 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

$85.82 typical visit price

range $55.29 – $168.52

Typical copayment $21.45 (range $13.82 – $42.13)

Most-billed visit code 99203

Established Patient

$69.10 typical visit price

range $17.60 – $137.20

Typical copayment $17.27 (range $4.40 – $34.30)

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 20

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

MRS. EBERECHUKWU VIVIAN OKPAREKE FNP-BC

Nurse Practitioner (Family)