Active NPI
Benjamin Scott Sanley, D.D.S
- Dentist
- Independence, MO
National Provider Identifier
1831395094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2007014549
- Practice address
- 19401 E Valley View Pkwy
Independence, MO 64055-6936 - Phone
- (816) 795-6325
- NPI assigned
- Jun 25, 2007
- Last updated
- Apr 6, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2007014549 | MO | Primary |
Addresses
Primary practice location
19401 E Valley View Pkwy
Independence, MO 64055-6936
Mailing address
19401 E Valley View Pkwy
Independence, MO 64055-6936
Phone (816) 795-6325
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2204349-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samuel U. Rodgers Health Center, Inc | Current | Accepting new patients | |
| Samuel U. Rodgers Health Center, Inc. | Current | Accepting new patients | |
| Kirby J. Robinson, DDS of Missouri, LLC | Past | Accepting new patients | |
| Anthony F. Williams, DDS, P.C. | Dentist | Past | Accepting new patients |
Locations
825 Euclid Ave
Kansas City, MO 64124
Phone (816) 889-4816
800 Haines
Liberty, MO 64068
Phone (816) 595-4200
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Kansas City, MO
- NPI 1578570982
-
- Federally Qualified Health Center (FQHC)
- Kansas City, MO
- NPI 1326674144
-
- Dentist
- Independence, MO
- NPI 1558674358
-
dba Affordable Dentures & Implants - Independence
- General Practice Dentistry
- Independence, MO
- NPI 1487384525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459900800000",
"number": "1831395094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19401 E VALLEY VIEW PKWY",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640556936",
"telephone_number": "816-795-6325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19401 E VALLEY VIEW PKWY",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640556936",
"telephone_number": "816-795-6325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANLEY",
"first_name": "BENJAMIN",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-25",
"last_updated": "2016-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2007014549",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2204349-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.