Active NPI
Danielle Kristen Leeper Parks, D.D.S. M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Kansas City, MO
National Provider Identifier
1336500537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 2018014415
- Practice address
- 9101 NE 82ND Terrace
Kansas City, MO 64158 - Phone
- (816) 781-8585
- NPI assigned
- Mar 15, 2016
- Last updated
- Oct 25, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 62202 | KS | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2018014415 | MO | Primary |
Addresses
Primary practice location
9101 NE 82ND Terrace
Kansas City, MO 64158
Mailing address
9101 NE 82ND Terrace
Kansas City, MO 64158
Phone (816) 781-8585
Other names 1
- Danielle Kristen Leeper
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240429002619 | MO | Order and Referring Only - Dentist | 2961842687 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62202 | KS | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 2018014415 | MO | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kanning Orthodontics | Orthodontics and Dentofacial Orthopedics | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Kansas City, MO
- NPI 1760962260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1336500537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9101 NE 82ND TERRACE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64158",
"telephone_number": "816-781-8585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9101 NE 82ND TERRACE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64158",
"telephone_number": "816-781-8585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "DANIELLE",
"middle_name": "KRISTEN LEEPER",
"credential": "D.D.S. M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-15",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "KS",
"license": "62202",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MO",
"license": "2018014415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "LEEPER",
"middle_name": "KRISTEN",
"credential": "D.D.S. M.S.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.