Active NPI
Alaina Jo Calabrese, DDS
- General Practice Dentistry
- Kansas City, MO
National Provider Identifier
1003489584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2021022219
- Practice address
- 4100 NE Vivion Rd
Kansas City, MO 64119-2811 - Phone
- (816) 420-9070
- NPI assigned
- Jul 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2021022219 | MO | Primary |
Addresses
Primary practice location
4100 NE Vivion Rd
Kansas City, MO 64119-2811
Mailing address
4515 NE 63Rd Ter Apt Suite
Kansas City, MO 64119-4726
Phone (816) 726-3513
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021022219 | MO | MD | General Practice Dentistry |
Networks
- IA HMO C-SNP
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636416000000",
"number": "1003489584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4515 NE 63RD TER APT SUITE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641194726",
"telephone_number": "816-726-3513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 NE VIVION RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641192811",
"telephone_number": "816-420-9070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALABRESE",
"first_name": "ALAINA",
"middle_name": "JO",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-21",
"last_updated": "2021-11-09",
"certification_date": "2021-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "2021022219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.