JOHN S. DYKSTRA, X DO – NPI #1720061690
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

JOHN DYKSTRA, X is a radiologist located in KANSAS CITY, MO. NPPES has assigned the NPI number 1720061690 to JOHN DYKSTRA, X on November 23, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 16 years ago on Sep 28, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHN DYKSTRA, X below.

NPI Profile for
JOHN S. DYKSTRA, X

NPI Number
1720061690
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHN S. DYKSTRA, X
Credentials
DO
Primary location
9501 N OAK TRFY
SUITE 100
KANSAS CITY, MO 64155-2256
Phone: (816) 455-0661 Fax: (816) 454-1080
Mailing address
PO BOX 414975
KANSAS CITY, MO 64141-4975
Phone: (816) 455-0661 Fax: (816) 454-1080
Sole Proprietor
No
Updated
Identifiers

Identifiers for JOHN DYKSTRA, X

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNAMO2239077
OTHERBCBSKS067407
OTHERBCBSMO03870079
MEDICAIDKS100231260A
MEDICAIDMO240394122
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 MO R4721

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.