Individual provider Active NPI

Paraskevi Panousis, DDS

  • General Practice Dentistry
  • Kennett, MO
National Provider Identifier
1467021394
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2021019568 Issued in MO
Practice address
215 Teaco Rd
Kennett, MO 63857-3236
Phone
(573) 888-5936
Fax
(573) 559-3006
NPI assigned
Jun 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2021019568 MO Primary

Addresses

Primary practice location

215 Teaco Rd
Kennett, MO 63857-3236

Mailing address

215 Teaco Rd
Kennett, MO 63857-3236
Phone (573) 888-5936

Other practice location 1

4746 Belleview Ave
Kansas City, MO 64112-1315
Phone (816) 531-8740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2021019568MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Steven C. Mingos & Associates, LLC General Practice PastSince Jun 27, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1467021394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 TEACO RD",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573236",
            "telephone_number": "573-888-5936",
            "fax_number": "573-559-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 TEACO RD",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573236",
            "telephone_number": "573-888-5936",
            "fax_number": "573-559-3006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4746 Belleview Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641121315",
            "country_code": "US",
            "telephone_number": "816-531-8740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANOUSIS",
        "first_name": "PARASKEVI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2021019568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett, MO

Sources for this page

Verify at the official NPI Registry.