Haris Nawaz

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2023025130 Issued in MO

Practice address

801 Watson Dr Ste G
Kearney, MO 64060-4515

Phone

(816) 832-4549

NPI assigned

Apr 3, 2023

Last updated

Sep 19, 2023By the provider in NPPES

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kirby J. Robinson, DDS of Missouri, LLC

  dba Affordable Dentures & Implants - Kearney

  • General Practice Dentistry
  • Kearney, MO
  • NPI 1629094180
  NPD

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1699470187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVE HOUSE STAFF ADMINISTRATION",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WATSON DR STE G",
            "city": "KEARNEY",
            "state": "MO",
            "postal_code": "640604515",
            "telephone_number": "816-832-4549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Dekalb Ave House Staff Administration",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11201",
            "country_code": "US",
            "telephone_number": "718-250-6604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAWAZ",
        "first_name": "HARIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2023025130",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Miller, SBD
• Haley Marie Milum, MS
• Missouri CVS Pharmacy LLC (CVS Pharmacy # 08596)
• Jeanette Morrill, PHARMD
• Julie Murphy, SLP
• New Liberty Hospital Corporation (The Kearney West Clinic)
• New Liberty Hospital Corporation (The Kearney Clinic)
• Noble Chiropractic
• Ashley Marie Noble-Amerson, D.C.
• Northland Speech and Language Therapy, LLC

• General Practice Dentistry in Kearney, MO
• Providers in Kearney, 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 Sep 19, 2023; 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.