Healthcare Provider Details

I. General information

NPI: 1245222611
Provider Name (Legal Business Name): HERBERT EDWARD DEMPSEY D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2005
Last Update Date: 09/27/2024
Certification Date: 09/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 NE ANDERSON LN
LEES SUMMIT MO
64064-1244
US

IV. Provider business mailing address

801 NE ANDERSON LN
LEES SUMMIT MO
64064-1244
US

V. Phone/Fax

Practice location:
  • Phone: 816-875-4322
  • Fax: 833-973-0968
Mailing address:
  • Phone: 816-875-4322
  • Fax: 913-495-3727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberR8J60
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: