Kirthi Tata, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2018015358 Issued in MO

Practice address

114 E 41St St
Apt 3
Kansas City, MO 64111-4927

Phone

(334) 329-4844

NPI assigned

Apr 17, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1518491570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 OZARK TRAIL DR STE 8",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112164",
            "telephone_number": "334-329-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E 41ST ST",
            "address_2": "APT 3",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641114927",
            "telephone_number": "334-329-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATA",
        "first_name": "KIRTHI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-17",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2018015358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Tarbell, FNP-C
• Furqan Tariq, M.B.B.S
• Brianna Marie Tarr
• James K Tarwater, D.O.
• Tasanaporn Pitiyanuvath, M.D. L.L.C. (T.P. Children & Teens Care)
• Manvita Tatavarthy, MD
• Aukeysia R Tate, LCSW
• Elizabeth Amaro Tatro, PLMFT
• Ashley G Tatum, DO
• Christy Tatum

• General Practice Dentistry in Kansas City, MO
• Providers in Kansas City, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.