Active NPI
Adam Christopher Hallam, DDS
- General Practice Dentistry
- Kansas City, MO
National Provider Identifier
1790352755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2021019495
- Practice address
- 6262 NW Barry Rd
Kansas City, MO 64154-2530 - Phone
- (816) 705-5996
- NPI assigned
- Jun 8, 2021
- Last updated
- Oct 19, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 61991 | KS | |
| General Practice Dentistry | 1223G0001X | 2021019495 | MO | Primary |
Addresses
Primary practice location
6262 NW Barry Rd
Kansas City, MO 64154-2530
Mailing address
701 E 54TH St
Kansas City, MO 64110-2413
Phone (417) 848-2199
Other practice location 1
7524 State Ave
Kansas City, KS 66112-2816
Phone (913) 905-2711
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61991 | KS | MD | General Practice Dentistry |
| 2021019495 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Khizirpour Dental LLC | General Practice | Current | Accepting new patients |
| Gargano Dental Enterprise LLC | General Practice | Past | Accepting new patients |
Locations
6262 NW Barry Rd
Kansas City, MO 64154
Phone (816) 705-5996
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Kansas City, MO
- NPI 1265275150
-
- General Practice Dentistry
- Lee's Summit, MO
- NPI 1386482156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1790352755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 E 54TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641102413",
"telephone_number": "417-848-2199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6262 NW BARRY RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641542530",
"telephone_number": "816-705-5996"
}
],
"practiceLocations": [
{
"address_1": "7524 State Ave",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "KS",
"postal_code": "661122816",
"country_code": "US",
"telephone_number": "913-905-2711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALLAM",
"first_name": "ADAM",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-08",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "61991",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "2021019495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.