Individual provider Active NPI

Kaleigh Kristina Nechvatal

  • Dentist
  • Kansas City, MO
National Provider Identifier
1023538972
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2017016415 Issued in MO
Practice address
5901 NW 63Rd Ter Ste 150
Kansas City, MO 64151-3602
Phone
(815) 505-2222
NPI assigned
Jun 21, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2017016415 MO Primary

Addresses

Primary practice location

5901 NW 63Rd Ter Ste 150
Kansas City, MO 64151-3602

Mailing address

7806 Lowell Ave
Overland Park, KS 66204-2836
Phone (816) 729-0611

Other practice location 1

7806 Lowell Ave
Overland Park, KS 66204-2836
Phone (816) 729-0611

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

LicenseStateTypeSpecialty
2017016415MOMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1023538972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7806 LOWELL AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042836",
            "telephone_number": "816-729-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 NW 63RD TER STE 150",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641513602",
            "telephone_number": "815-505-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7806 Lowell Ave",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662042836",
            "country_code": "US",
            "telephone_number": "816-729-0611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NECHVATAL",
        "first_name": "KALEIGH",
        "middle_name": "KRISTINA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2017016415",
            "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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.