Individual provider Active NPI

Ayham Dahshan, DMD

  • General Practice Dentistry
  • Kansas City, MO
National Provider Identifier
1932817491
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2024028457 Issued in MO
Practice address
8600 Ward Pkwy Ste 2130
Kansas City, MO 64114-2607
Phone
(816) 631-1791
NPI assigned
Nov 14, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 62174 KS
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019.033785 IL
General Practice Dentistry 1223G0001X 2024028457 MO Primary

Addresses

Primary practice location

8600 Ward Pkwy Ste 2130
Kansas City, MO 64114-2607

Mailing address

10501 W 113TH St Apt 5339
Overland Park, KS 66210-2560
Phone (708) 737-6620

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
I20230927004007 KS Order and Referring Only - DentistPractitioner - Dentist 4183078983

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.033785ILMDDentist
2024028457MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alex R Sharifian DDS, Ward Parkway Dentistry, PC General Practice CurrentSince Jul 28, 2024 Accepting new patients

Locations

8600 Ward Pkwy
Ste 2130
Kansas City, MO 64114
Phone (816) 631-1791

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, 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": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1932817491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 W 113TH ST APT 5339",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102560",
            "telephone_number": "708-737-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 WARD PKWY STE 2130",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641142607",
            "telephone_number": "816-631-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHSHAN",
        "first_name": "AYHAM",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-14",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "62174",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.033785",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2024028457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.