MR. JOHN S. DYKSTRA DO NPI 1720061690

NPI Information

NPI: 1720061690
Provider Name: MR. JOHN S. DYKSTRA, DO
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
9501 N OAK TRFY
SUITE 100
KANSAS CITY, MO
ZIP 64155
Phone: (816) 455-0661
Get Directions

MR. John S. Dykstra, DO is a diagnostic radiology radiology in Kansas City, MO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MR. John S. Dykstra, DO NPI is 1720061690. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9501 N OAK TRFY
SUITE 100
KANSAS CITY, MO
ZIP 64155-256
Phone: (816) 455-0661
Fax: (816) 454-1080

The enumeration date for this NPI number is 11/23/2005 and was last updated on 9/28/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	0516561	KANSAS	No
2	2085R0202X	Radiology	Diagnostic Radiology	R4721	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03870079	OTHER	MISSOURI	BCBS
2	3373146	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI
3	100231260A	MEDICAID	KANSAS
4	240394122	MEDICAID	MISSOURI
5	067407	OTHER	KANSAS	BCBS
6	C52033	MEDICARE UPIN	MISSOURI
7	2239077	OTHER	MISSOURI	AETNA
8	300015812	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI	RAILROAD
9	3373146O	MEDICARE ID-TYPE UNSPECIFIED	KANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »