Individual provider Active NPI

Kayla Mariah Sater, RDH, COMP

  • Dental Hygienist
  • Warsaw, MO
National Provider Identifier
1760382378
Registry record updated Nov 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
2019020617 Issued in MO
Practice address
22739 Lake Villa Dr
Warsaw, MO 65355-4227
Phone
(417) 655-6069
NPI assigned
Nov 7, 2026
Last updated
Nov 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 2019020617 MO Primary

Addresses

Primary practice location

22739 Lake Villa Dr
Warsaw, MO 65355-4227

Mailing address

22739 Lake Villa Dr
Warsaw, MO 65355-4227
Phone (417) 655-6069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1794009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1794009600000",
    "number": "1760382378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22739 LAKE VILLA DR",
            "city": "WARSAW",
            "state": "MO",
            "postal_code": "653554227",
            "telephone_number": "417-655-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22739 LAKE VILLA DR",
            "city": "WARSAW",
            "state": "MO",
            "postal_code": "653554227",
            "telephone_number": "417-655-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATER",
        "first_name": "KAYLA",
        "middle_name": "MARIAH",
        "credential": "RDH, COMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-11-07",
        "last_updated": "2026-11-07",
        "certification_date": "2026-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MO",
            "license": "2019020617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.