Active NPI
Bhavika V Thakkar, DDS
- Prosthodontics
- Kansas City, MO
National Provider Identifier
1629605019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 2022017866
- Practice address
- 650 E 25TH St RM 277
Kansas City, MO 64108-2716 - Phone
- (816) 235-2121
- Fax
- (816) 235-5526
- NPI assigned
- Mar 25, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 37190 | TX | |
| Prosthodontics | 1223P0700X | 2022017866 | MO | Primary |
Addresses
Primary practice location
650 E 25TH St RM 277
Kansas City, MO 64108-2716
Mailing address
8045 Metcalf Ave Apt 327
Overland Park, KS 66204-3871
Phone (917) 562-4098
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | thakkarb@umkc.edu | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 2022017866 | MO | MD | Prosthodontist |
| 37190 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umkc Faculty Practice | Past | 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.
-
- Dental Clinic/Center
- Kansas City, MO
- NPI 1568890291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653264000000",
"number": "1629605019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8045 METCALF AVE APT 327",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662043871",
"telephone_number": "917-562-4098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 E 25TH ST RM 277",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082716",
"telephone_number": "816-235-2121",
"fax_number": "816-235-5526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAKKAR",
"first_name": "BHAVIKA",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-25",
"last_updated": "2022-05-23",
"certification_date": "2022-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "37190",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "MO",
"license": "2022017866",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "thakkarb@umkc.edu",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "650 E 25th St Rm 277",
"city": "Kansas City",
"state": "MO",
"country_code": "US",
"postal_code": "641082716",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.