NPIMap

Organization Active NPI

Petal Dental LLC

  • General Practice Dentistry
  • Overland Park, KS
National Provider Identifier
1629650403
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PETAL DENTAL LLC
Practice address
9322 W 87TH St
Overland Park, KS 66212-3778
Phone
(913) 444-9329
NPI assigned
Apr 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Authorized official

Name
Dr. Yashoni Shah, DDSNPI 1275985889
Title
Owner/Dentist
Phone
(913) 444-9329

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

9322 W 87TH St
Overland Park, KS 66212-3778

Mailing address

9322 W 87TH St
Overland Park, KS 66212-3778
Phone (913) 444-9329

National Provider Directory

National Provider Directory

Locations

9322 W 87th St
Overland Park, KS 66212
Phone (913) 444-9329

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1629650403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9322 W 87TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662123778",
            "telephone_number": "913-444-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9322 W 87TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662123778",
            "telephone_number": "913-444-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETAL DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "YASHONI",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "913-444-9329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.