Individual provider Active NPI

Maria Del Cielo Barragan, DDS

  • General Practice Dentistry
  • Westwood, KS
National Provider Identifier
1245469550
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2009017290 Issued in MO
Practice address
4720 Rainbow Blvd Ste 250
Westwood, KS 66205-1863
Phone
(913) 588-9200
NPI assigned
Jul 8, 2009
Last updated
Jun 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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 2009017290 MO Primary

Addresses

Primary practice location

4720 Rainbow Blvd Ste 250
Westwood, KS 66205-1863

Mailing address

5713 NW 64TH Ter
Kansas City, MO 64151-2382

Other identifiers 1

IdentifierTypeStateIssuer
61302OtherKSDENTAL LICENSE

Other names 1

  • Maria Del Cielo Adjemian Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CAQH Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170815003295 KS Practitioner - DentistPractitioner - Oral Surgery 2466724166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Univ of Missouri-Kansas City School of Dentistry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4720 Rainbow Blvd
Suite 250
Westwood, KS 66202-1863
Phone (913) 588-1227

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2009017290MOMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: madjemian558119@direct.kuha.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1245469550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5713 NW 64TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641512382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 RAINBOW BLVD STE 250",
            "city": "WESTWOOD",
            "state": "KS",
            "postal_code": "662051863",
            "telephone_number": "913-588-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRAGAN",
        "first_name": "MARIA",
        "middle_name": "DEL CIELO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2009017290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "61302",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CAQH",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "dental clinic",
            "address_1": "4720 Rainbow Blvd Ste 250",
            "city": "Westwood",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662051863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "ADJEMIAN",
            "middle_name": "DEL CIELO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westwood, KS

Sources for this page

Verify at the official NPI Registry.