Active NPI
Francisco Javier Inzunza Santiago
- General Practice Dentistry
- Raytown, MO
National Provider Identifier
1407424237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2021021319
- Practice address
- 10800 E 77TH Ter
Raytown, MO 64138-2331 - Phone
- (816) 358-1122
- NPI assigned
- Jun 17, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2021021319 | MO | Primary |
Addresses
Primary practice location
10800 E 77TH Ter
Raytown, MO 64138-2331
Mailing address
3717 NE Stanton St
Lees Summit, MO 64064-1936
Phone (573) 823-3031
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2021021319 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terrace Family Dentistry LLC | General Practice | Current | Accepting new patients |
Locations
10800 E 77th Ter
Raytown, MO 64138
Phone (816) 358-1122
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Raytown, MO
- NPI 1346111986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1407424237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3717 NE STANTON ST",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640641936",
"telephone_number": "573-823-3031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10800 E 77TH TER",
"city": "RAYTOWN",
"state": "MO",
"postal_code": "641382331",
"telephone_number": "816-358-1122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INZUNZA SANTIAGO",
"first_name": "FRANCISCO",
"middle_name": "JAVIER",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-17",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "2021021319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raytown, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.