Individual provider Active NPI

Adam Christopher Hallam, DDS

  • General Practice Dentistry
  • Kansas City, MO
National Provider Identifier
1790352755
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2021019495 Issued in MO
Practice address
6262 NW Barry Rd
Kansas City, MO 64154-2530
Phone
(816) 705-5996
NPI assigned
Jun 8, 2021
Last updated
Oct 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
61991KSMDGeneral Practice Dentistry
2021019495MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Khizirpour Dental LLC General Practice CurrentSince Jun 23, 2024 Accepting new patients
Gargano Dental Enterprise LLC General Practice PastSince Jul 21, 2024 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.

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.

Verify at the official NPI Registry.