Individual provider Active NPI

Allyson Karina Missura, DDS

  • Dentist
  • Atchison, KS
National Provider Identifier
1194086397
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60775 Issued in KS
Practice address
222 N 7TH St
Atchison, KS 66002-2427
Phone
(913) 360-3819
NPI assigned
Jun 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60775 KS Primary

Addresses

Primary practice location

222 N 7TH St
Atchison, KS 66002-2427

Mailing address

1613 Brookdale Dr
Atchison, KS 66002-1198
Phone (913) 360-3819

Other practice location 1

BLDG 38717 38TH Street
USA Dentac
Ft Gordon, GA 30905-5660
Phone (706) 787-6927

Other names 1

  • Dr. Allyson Karina Sundby Former name

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
60775KSMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sundby Dental LLC CurrentSince Sep 8, 2019 Accepting new patients

Locations

222 N 7th St
Atchison, KS 66002
Phone (913) 360-3819

Organizations & group practices 1

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": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1194086397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 BROOKDALE DR",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660021198",
            "telephone_number": "913-360-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N 7TH ST",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660022427",
            "telephone_number": "913-360-3819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "BLDG 38717 38TH STREET",
            "address_2": "USA DENTAC",
            "address_purpose": "LOCATION",
            "city": "FT GORDON",
            "state": "GA",
            "postal_code": "309055660",
            "country_code": "US",
            "telephone_number": "706-787-6927",
            "fax_number": "706-787-2082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISSURA",
        "first_name": "ALLYSON",
        "middle_name": "KARINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "60775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLYSON",
            "last_name": "SUNDBY",
            "middle_name": "KARINA",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atchison, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.