Carlos Criss, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2021020355 Issued in MO

Practice address

1205 NE Coronado Dr
Blue Springs, MO 64014-2928

Phone

(816) 228-4090

NPI assigned

Jun 17, 2021

Last updated

Jun 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kansas City Care Clinic

  dba KC CARE Health Center

  • Federally Qualified Health Center (FQHC)
  • Kansas City, MO
  • NPI 1215273388
  Medicare reassignment NPD
• Kansas City Care Clinic

  dba KC CARE Health

  • Federally Qualified Health Center (FQHC)
  • Kansas City, MO
  • NPI 1396101317
  NPD
• Kansas City Care Clinic

  dba KC CARE Health Center

  • Federally Qualified Health Center (FQHC)
  • Kansas City, MO
  • NPI 1437897774
  NPD
• Alex Sharifian DDS Blue Springs Dentistry PC

  dba Blue Springs Dentistry

  • General Practice Dentistry
  • Blue Springs, MO
  • NPI 1083027411
  NPD (past)

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1851969539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 NW DEER RUN TRL",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640151743",
            "telephone_number": "618-741-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 NE CORONADO DR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142928",
            "telephone_number": "816-228-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISS",
        "first_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2021020355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cosentino Enterprises Inc
• Billie-Jo Costa, HIS
• Counseling Services, LLC
• Timothy A. Cox, MFA
• Macheala Crane, DC
• Jennifer Nicole Crooks
• Heather Crump
• Rebecca Louise Culbertson, RPH
• Matthew Thomas Cullen, D.O.
• Cynthia J Caputo MD PC

• General Practice Dentistry in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.

Verify at the official NPI Registry.