Active NPI
Allyson Karina Missura, DDS
- Dentist
- Atchison, KS
National Provider Identifier
1194086397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 60775
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 60775 | KS | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sundby Dental LLC | Current | 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.
-
- Dental Clinic/Center
- Atchison, KS
- NPI 1063061992
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.