Individual provider Active NPI

Sierra Wilson, DDS

  • General Practice Dentistry
  • Raytown, MO
National Provider Identifier
1699600759
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2026026776 Issued in MO
Practice address
9000 E State Route 350
Raytown, MO 64133-5717
Phone
(816) 503-9011
Fax
(816) 503-9298
NPI assigned
Jun 17, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2026026776 MO Primary

Addresses

Primary practice location

9000 E State Route 350
Raytown, MO 64133-5717

Mailing address

2580 Forest Ave Unit 302
Kansas City, MO 64108-3521
Phone (816) 503-9011

Other practice location 1

3102 Prospect Ave
Kansas City, MO 64128-1559
Phone (816) 654-4855

Other practice location 2

1619 W US Highway 24
Independence, MO 64050-2345
Phone (816) 461-0055

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

Practice roles

OrganizationSpecialtyStatusNew patients
Little Big Smiles, LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1699600759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 FOREST AVE UNIT 302",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641083521",
            "telephone_number": "816-503-9011",
            "fax_number": "816-503-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 E STATE ROUTE 350",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641335717",
            "telephone_number": "816-503-9011",
            "fax_number": "816-503-9298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3102 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641281559",
            "country_code": "US",
            "telephone_number": "816-654-4855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1619 W US Highway 24",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640502345",
            "country_code": "US",
            "telephone_number": "816-461-0055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SIERRA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2026026776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raytown, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.