Individual provider Active NPI

Alexandria Madison Thomas, DDS

  • Pediatric Dentistry
  • Leawood, KS
National Provider Identifier
1295412955
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2023021396 Issued in MO
Practice address
11401 Nall Ave Ste 100
Leawood, KS 66211-1850
Phone
(913) 649-5437
NPI assigned
Jul 3, 2023
Last updated
Aug 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 62162 KS
Pediatric Dentistry 1223P0221X 7927 NE
Pediatric Dentistry 1223P0221X 2023021396 MO Primary

Addresses

Primary practice location

11401 Nall Ave Ste 100
Leawood, KS 66211-1850

Mailing address

2405 W 114TH St
Leawood, KS 66211-3021
Phone (913) 231-1166

Other practice location 1

3351 NE Ralph Powell Rd
Lees Summit, MO 64064-2368
Phone (913) 649-5437

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
62162KSMDPediatric Dentist
2023021396MOMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1295412955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 W 114TH ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662113021",
            "telephone_number": "913-231-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 NALL AVE STE 100",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111850",
            "telephone_number": "913-649-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3351 NE Ralph Powell Rd",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640642368",
            "country_code": "US",
            "telephone_number": "913-649-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ALEXANDRIA",
        "middle_name": "MADISON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KS",
            "license": "62162",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NE",
            "license": "7927",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MO",
            "license": "2023021396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.