Brad A. Higgerson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2012034563 Issued in MO

Practice address

9018 North Skyview Avenue
Kansas City, MO 64154

Phone

(816) 741-5113

Fax

(816) 741-5121

NPI assigned

Aug 16, 2005

Reactivated

Mar 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Alex Sharifian, D.D.S., Tiffany Springs Dental Group, P.C.

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1851642508
  NPD (past)
• Shawnee Dental Group, PA

  • General Practice Dentistry
  • Shawnee, KS
  • NPI 1871987545
  NPD (past)

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1265424311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9018 NORTH SKYVIEW AVENUE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64154",
            "telephone_number": "816-741-5113",
            "fax_number": "816-741-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9018 NORTH SKYVIEW AVENUE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64154",
            "telephone_number": "816-741-5113",
            "fax_number": "816-741-5121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15834 Shawnee Mission Pkwy",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "KS",
            "postal_code": "662179326",
            "country_code": "US",
            "telephone_number": "913-631-0866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIGGERSON",
        "first_name": "BRAD",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "7098",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2012034563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Hidy, RBT
• Diana L Hieb, APRN
• Hiebert Center, LLC
• Diana Michelle Hiestand, DNP
• Romero Agustin Higareda, PHARMD
• Andrew Stephen Higginbotham
• Allison Leann Higgins, PHARMD
• Antonio Lavelle Higgins, LMSW
• Emma Claire Higgins, LMSW
• Jeanette Higgins, CPNP

• General Practice Dentistry in Kansas City, MO
• Providers in Kansas City, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.