Individual provider Active NPI

Kayla White, DMD

  • General Practice Dentistry
  • Columbia, MO
National Provider Identifier
1134745227
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2020023355 Issued in MO
Practice address
1101 Club Village Dr Ste 106
Columbia, MO 65203-4410
Phone
(573) 874-8744
NPI assigned
Jun 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2020023355 MO Primary

Addresses

Primary practice location

1101 Club Village Dr Ste 106
Columbia, MO 65203-4410

Mailing address

1101 Club Village Dr Ste 106
Columbia, MO 65203-4410
Phone (573) 874-8744

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
2020023355MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Accent Dental Center on Forum, LLC CurrentSince Sep 15, 2021 Accepting new patients
Dental Wellness Partners LLC General Practice CurrentSince Jan 14, 2024 Accepting new patients

Locations

1401 Forum Blvd
Ste 203
Columbia, MO 65203
Phone (573) 446-7181

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": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1134745227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CLUB VILLAGE DR STE 106",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034410",
            "telephone_number": "573-874-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 CLUB VILLAGE DR STE 106",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034410",
            "telephone_number": "573-874-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KAYLA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2020023355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.