Individual provider Active NPI

Danielle Kristen Leeper Parks, D.D.S. M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kansas City, MO
National Provider Identifier
1336500537
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2018014415 Issued in MO
Practice address
9101 NE 82ND Terrace
Kansas City, MO 64158
Phone
(816) 781-8585
NPI assigned
Mar 15, 2016
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240429002619 MO Order and Referring Only - DentistPractitioner - Dentist 2961842687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
62202KSMDOrthodontics and Dentofacial Orthopedic Dentist
2018014415MOMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kanning Orthodontics Orthodontics and Dentofacial Orthopedics PastSince Dec 28, 2022 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.

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

Verify at the official NPI Registry.