Chinakasiobi Mbata, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2019008419 Issued in MO

Practice address

5101 N Belt Hwy
Saint Joseph, MO 64506

Phone

(913) 802-2353

NPI assigned

Feb 24, 2018

Sex

Male

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": "1519430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1689175671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 N BELT HWY",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645061261",
            "telephone_number": "913-802-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 N BELT HWY",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "64506",
            "telephone_number": "913-802-2353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Cole Ave Apt 223",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752044019",
            "country_code": "US",
            "telephone_number": "478-213-4843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Cole Ave Apt 223",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752044019",
            "country_code": "US",
            "telephone_number": "478-213-4843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MBATA",
        "first_name": "CHINAKASIOBI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-24",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33723",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2019008419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam C. Matthias, D.D.S.
• Morris C Matthias, CRNA
• Craig Mattox, D.C.
• Dixie Leah Mattthews
• Theresa Rene Maxwell, RN, MSN, FNP
• Brittany Shea McCan, FNP-BC
• Karen Rose McClanahan, PTA
• Harold McClellan, LCSW
• Karen McClure
• Michael P McClure, D.D.S.

• General Practice Dentistry in Saint Joseph, MO
• Providers in Saint Joseph, 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 Mar 28, 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.