DR. TANNER D BROCK (DDS) – Periodontics, NPI 1053761072

DR. TANNER D BROCK (DDS) is a healthcare provider. based in Wichita, Kansas. specializing in Periodontics. They hold the professional credentials DDS. They hold a License No. 61221 (KS). The NPI Number for DR. TANNER D BROCK (DDS) is 1053761072

Main info

Male
Sole Proprietor
Name
DR. TANNER D BROCK (DDS)
NPI
1053761072
Phone
(316) 685-2731
Address
2981 N. WEBB RD.
Enumeration Date
21 June 2016
Last Update Date
14 April 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for DR. TANNER D BROCK (DDS)

  • 2981, North Webb Road, Minneha, Wichita, Sedgwick County, Kansas, 67226, United States

    WICHITA, KS 67226

    Phone: (316) 685-2731

    Fax: (316) 685-6946

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $465.

Total Amount is formed as General ($465) + Research ($0) + Ownership ($0) = $465.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Nobel Biocare USA ($328).

Total Amount

$465

General + Research + Ownership

Payments

11

Total payment records

General Amount

$465

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-12-06

PECOS data refreshed: 2026-05-27

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67226)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. TANNER D BROCK (DDS)?
DR. TANNER D BROCK (DDS) — NPI 1053761072 — is the standard way to identify this listing.
Can I rely on DR. TANNER D BROCK (DDS) being an active provider?
As of the registry snapshot, DR. TANNER D BROCK (DDS) is marked active.
What healthcare role does DR. TANNER D BROCK (DDS) hold?
Scheduling teams often label DR. TANNER D BROCK (DDS) under Periodontics. Clinical services aligned with this taxonomy classification.
What address line appears for DR. TANNER D BROCK (DDS)?
DR. TANNER D BROCK (DDS)'s geographic hint is Wichita, Kansas in our summary view.
Is the information about DR. TANNER D BROCK (DDS) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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