Individual provider Active NPI

Whitney Simonet, DDS

  • Dentist
  • Kansas City, KS
National Provider Identifier
1245217801
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60106 Issued in KS
Practice address
6708 State Ave
Kansas City, KS 66102-3021
Phone
(913) 299-8554
Fax
(913) 299-3187
NPI assigned
Dec 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60106 KS Primary
Dentist 122300000X 2011036173 MO

Addresses

Primary practice location

6708 State Ave
Kansas City, KS 66102-3021

Mailing address

6708 State Ave
Kansas City, KS 66102-3021
Phone (913) 299-8554

Other identifiers 3

IdentifierTypeStateIssuer
100406010BMedicaidKS
1005260OtherKSDORAL
1245217801OtherKSMEDICAID/SCION DENTAL/SUNFLOWER/UNITED HEALTHCARE

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
60106KSMDDentist
2011036173MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Youngjune Chang DDS LLC Dentist Past Accepting new patients

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": "1135555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1245217801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6708 STATE AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661023021",
            "telephone_number": "913-299-8554",
            "fax_number": "913-299-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6708 STATE AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661023021",
            "telephone_number": "913-299-8554",
            "fax_number": "913-299-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONET",
        "first_name": "WHITNEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-26",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "60106",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2011036173",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100406010B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "1005260",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID/SCION DENTAL/SUNFLOWER/UNITED HEALTHCARE",
            "identifier": "1245217801",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.