Active NPI
Sierra Wilson, DDS
- General Practice Dentistry
- Raytown, MO
National Provider Identifier
1699600759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2026026776
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
- Dental Clinic/Center
- Raytown, MO
- NPI 1609249804
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.