Sophiah Njeri Penda, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

62018 Issued in KS

Practice address

13316 Metcalf Ave
Overland Park, KS 66213-2804

Phone

(913) 851-5110

NPI assigned

Mar 1, 2023

Last updated

Mar 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Heart of Kansas Family Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Great Bend, KS
  • NPI 1184739443
  NPD (past)
• Overland Park Modern Dentistry PA

  dba Overland Park Modern Dentistry

  • General Practice Dentistry
  • Overland Park, KS
  • NPI 1215367172
  NPD (past)

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1114626876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12490 QUIVIRA RD APT 1620",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132413",
            "telephone_number": "314-685-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13316 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132804",
            "telephone_number": "913-851-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDA",
        "first_name": "SOPHIAH",
        "middle_name": "NJERI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "62018",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "62018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Lynn Pei, COTA
• Katherine Nicole Pemberton, LMSW
• Francisco L Pena, M.D.
• Heather Lorita Pena, MD
• Paul Piezas Pena, MD
• Jordan Pener, LPC
• Amanda Rose Penn, M.A.
• Denice M Penn, ARNP
• Nikiya M. Penn, P.T.A.
• Dante Carlo Pennipede, MD

• Dentist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.