Active NPI
Ladijah Imani Shivers, DDS
- Dentist
- Kansas City, MO
National Provider Identifier
1871275172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7969
- Practice address
- 801 W 47TH St
Kansas City, MO 64112-1377 - Phone
- (816) 931-2191
- NPI assigned
- Aug 4, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2026011892 | MO | |
| Dentist | 122300000X | 7969 | NE | Primary |
Addresses
Primary practice location
801 W 47TH St
Kansas City, MO 64112-1377
Mailing address
PO Box 2
Elkhorn, NE 68022-0002
Phone (405) 772-0282
Other practice location 1
1512 S 60th St
Omaha, NE 68106-2163
Phone (402) 553-7888
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 |
|---|---|---|---|
| 2026011892 | MO | MD | Dentist |
| 7969 | NE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Irish Taylor Dental of Elmwood LLC | Dentist | Past | Accepting new patients |
Interoperability endpoints
- ladijah.shivers.p1@direct.charlesdrew.nextgenshare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Omaha, NE
- NPI 1285064089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1871275172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680220002",
"telephone_number": "405-772-0282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W 47TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641121377",
"telephone_number": "816-931-2191"
}
],
"practiceLocations": [
{
"address_1": "1512 S 60th St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681062163",
"country_code": "US",
"telephone_number": "402-553-7888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHIVERS",
"first_name": "LADIJAH",
"middle_name": "IMANI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-04",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2026011892",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "7969",
"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 Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.