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Deactivated NPI 1376561704 Deactivated / Inactive NPI Male Practitioner

Dr. Michael E Vandenberg , DDS

Dentist - General Practice • Lenexa, KS

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Vandenberg has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 17, 2006
NPI Deactivation Date October 17, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Vandenberg, DDS was a registered Dentist - General Practice practicing in Lenexa, KS. Throughout an active medical career spanning 16 years, Dr. Vandenberg provided care at the practice location at 9226 PFLUMM until profile deactivation on 2022-10-17.

Practice Location & Contact Primary Location

Practice Address

9226 Pflumm

Lenexa, KS 66215

Telephone 9138886220
Fax 9138888464
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lenexa, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
28 Specialists

Practicing in Lenexa, KS (1140 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License KS KS5287

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1265792154

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 17, 2022

Record deactivated on October 17, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 9226 PFLUMM, LENEXA, KS 66215 (Tel: 9138886220)

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Updated Business Mailing Address July 08, 2007

Registered at 9226 PFLUMM, LENXA, KS 66215 (Tel: 9138886220)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL VANDENBERG, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #KS5287 in KS)

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Initial NPI Registration & Enumeration July 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376561704
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2006
Last Update: July 08, 2007
Deactivation Date: October 17, 2022

Mailing Address

9226 Pflumm

Lenxa, KS 66215

Phone: 9138886220

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.