Meshal Alborno
Individual provider Active NPI Dentist · Lees Summit, MO
NPI 1942949862 · NPPES record last updated May 2, 2023
Key facts
- NPI
- 1942949862
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2022018805 (MO)
- Practice address
- 1680 NW Chipman Rd
Lees Summit, MO 64081-3934 - Phone
- (816) 600-3722
- NPI assigned
- May 31, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220711000320 | MO | Order and Referring Only - Dentist |
2062892888 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gargano Dental Enterprise LLC | Current |
Accepting new patients |
Locations
1680 NW Chipman Rd
Lees Summit, MO 64081
Phone (816) 600-3722
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2022018805 | MO | Yes |
Addresses
Primary practice location
1680 NW Chipman Rd
Lees Summit, MO 64081-3934
Mailing address
650 E 25TH St
Kansas City, MO 64108-2716
Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.