Individual provider Active NPI

Sonal Kapoor Sood, D.M.D

  • General Practice Dentistry
  • Kansas City, KS
National Provider Identifier
1396128161
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61842 Issued in KS
Practice address
21 N 12TH St Ste 400
Kansas City, KS 66102-5172
Phone
(816) 922-3111
NPI assigned
Jun 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 61842 KS Primary
General Practice Dentistry 1223G0001X 2017002678 MO
General Practice Dentistry 1223G0001X DN 21383 FL

Addresses

Primary practice location

21 N 12TH St Ste 400
Kansas City, KS 66102-5172

Mailing address

1002 Glenbrook Way Ste 200
Hendersonville, TN 37075-1230

Other practice location 1

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130-2807
Phone (816) 923-5800

Other practice location 2

2906 NW Vivion Rd
Riverside, MO 64150-1502
Phone (816) 599-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221122003248 KS Practitioner - Dentist 4284002262 Reassigns benefits to 1 organization
I20221123000838 MO Practitioner - Dentist 4284002262 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 21383FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Swope Health Services Current Accepting new patients
Smile Avenue Dentistry Current Accepting new patients
Swope Health Services CurrentSince Oct 17, 2022 Accepting new patients
Swope Health Services Current Accepting new patients
Swope Health Services CurrentSince Oct 17, 2022 Accepting new patients
Swope Health Services CurrentSince Oct 17, 2022 Accepting new patients
Hendersonville Smiles Dentistry, PC Past Accepting new patients

Locations

21 N 12th St
Ste 400
Kansas City, KS 66102
Phone (816) 599-5111

17844 E 23rd St S
Independence, MO 64057
Phone (816) 257-9716

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone (816) 599-5500

2906 NW Vivion Rd
Riverside, MO 64150
Phone (816) 599-5050

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCJABA

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1396128161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 GLENBROOK WAY STE 200",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370751230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N 12TH ST STE 400",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661025172",
            "telephone_number": "816-922-3111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 Dr Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641302807",
            "country_code": "US",
            "telephone_number": "816-923-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2906 NW Vivion Rd",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "MO",
            "postal_code": "641501502",
            "country_code": "US",
            "telephone_number": "816-599-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOOD",
        "first_name": "SONAL",
        "middle_name": "KAPOOR",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61842",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2017002678",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 21383",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.