Individual provider Active NPI

Melissa A Combs, DDS

  • Periodontics
  • Leawood, KS
National Provider Identifier
1891714143
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
60149 Issued in KS
Practice address
11401 Nall Ave Ste 100
Leawood, KS 66211-1850
Phone
(913) 663-4867
Fax
(785) 272-0035
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 2002016022 MO
Periodontics 1223P0300X 60149 KS Primary

Addresses

Primary practice location

11401 Nall Ave Ste 100
Leawood, KS 66211-1850

Mailing address

11401 Nall Ave Ste 100
Leawood, KS 66211-1850
Phone (913) 663-4867

Other practice location 1

3355 NE Ralph Powell Rd
Lees Summit, MO 64064-2368
Phone (816) 525-4867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20140521000167 KS Order and Referring Only - DentistPractitioner - Oral SurgeryPractitioner - Dentist 1254554280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60149KSMDPeriodontist
2002016022MOMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel J Thomas, DDS Periodontal Specialists, PC Periodontics Past Accepting new patients
Pediatric Dental Specialists, PA Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1891714143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11401 NALL AVE STE 100",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111850",
            "telephone_number": "913-663-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 NALL AVE STE 100",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111850",
            "telephone_number": "913-663-4867",
            "fax_number": "785-272-0035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3355 NE Ralph Powell Rd",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640642368",
            "country_code": "US",
            "telephone_number": "816-525-4867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMBS",
        "first_name": "MELISSA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MO",
            "license": "2002016022",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "KS",
            "license": "60149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.