Individual provider Active NPI

Abdulkareem Harunani, DDS, MS

  • Periodontics
  • Kansas City, MO
National Provider Identifier
1700522133
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2025018029 Issued in MO
Practice address
9350 N Oak Trfy
Kansas City, MO 64155-2263
Phone
(816) 400-4045
NPI assigned
May 9, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901601445 MI
Student in an Organized Health Care Education/Training Program 390200000X
Periodontics 1223P0300X 2025018029 MO Primary

Addresses

Primary practice location

9350 N Oak Trfy
Kansas City, MO 64155-2263

Mailing address

5215 Forest Trail Dr
Rockford, IL 61109-6516
Phone (815) 668-5298

Other practice location 1

2700 Martin Luther King Jr Blvd
Detroit, MI 48208-2576
Phone (313) 494-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220712002252 MI Order and Referring Only - DentistPractitioner - Dentist 1456731124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2901601445MIMDDentist
2025018029MOMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Alex R Sharifian DDS, New Mark Modern Dentistry, PC CurrentSince Aug 17, 2025 Accepting new patients

Locations

9350 N Oak Trfy
Kansas City, MO 64155
Phone (816) 400-4045

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": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1700522133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 FOREST TRAIL DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611096516",
            "telephone_number": "815-668-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 N OAK TRFY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552263",
            "telephone_number": "816-400-4045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482082576",
            "country_code": "US",
            "telephone_number": "313-494-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARUNANI",
        "first_name": "ABDULKAREEM",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-09",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601445",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MO",
            "license": "2025018029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.