Active NPI
Issa Badawiya
- Student in an Organized Health Care Education/Training Program
- Joplin, MO
National Provider Identifier
1497587174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Kcu Oral Health Center
3001 St Johns Blvd
Joplin, MO 64804 - Phone
- (417) 208-0805
- NPI assigned
- Aug 20, 2024
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
Kcu Oral Health Center
3001 St Johns Blvd
Joplin, MO 64804
Mailing address
Kcu Oral Health Center
3001 St Johns Blvd
Joplin, MO 64804
Phone (417) 208-0805
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas City University | Current | Accepting new patients |
Locations
3001 Saint Johns Blvd
Joplin, MO 64804
Phone (417) 208-0805
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.
-
- Dental Clinic/Center
- Joplin, MO
- NPI 1295773638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1497587174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "KCU ORAL HEALTH CENTER",
"address_2": "3001 ST JOHNS BLVD",
"city": "JOPLIN",
"state": "MO",
"postal_code": "64804",
"telephone_number": "417-208-0805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KCU ORAL HEALTH CENTER",
"address_2": "3001 ST JOHNS BLVD",
"city": "JOPLIN",
"state": "MO",
"postal_code": "64804",
"telephone_number": "417-208-0805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADAWIYA",
"first_name": "ISSA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-20",
"last_updated": "2024-08-20",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.