Individual provider Active NPI

Anisha Patel, D.D.S.

  • Dentist
  • Kansas City, MO
National Provider Identifier
1093191223
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61216 Issued in KS
Practice address
10560 N Ambassador Dr
Kansas City, MO 64153-1278
Phone
(816) 891-8091
NPI assigned
Aug 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 61216 KS Primary
Dentist 122300000X 2018004823 MO

Addresses

Primary practice location

10560 N Ambassador Dr
Kansas City, MO 64153-1278

Mailing address

10560 N Ambassador Dr
Kansas City, MO 64153-1278
Phone (816) 891-8091

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
61216KSMDDentist
2018004823MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Creeks FD, LLC CurrentSince Jul 1, 2022 Accepting new patients
Twin Creeks Family Dentistry LLC PastSince Aug 16, 2020 Accepting new patients

Locations

10560 N Ambassador Dr
Ste 200
Kansas City, MO 64153
Phone (816) 891-8091

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1093191223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10560 N AMBASSADOR DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641531278",
            "telephone_number": "816-891-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10560 N AMBASSADOR DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641531278",
            "telephone_number": "816-891-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANISHA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61216",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2018004823",
            "primary": false
        }
    ],
    "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 2, 2023; 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.