Steven C. Mingos, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

12527 Issued in MO

Practice address

4746 Belleview Ave
Kansas City, MO 64112-1315

Phone

(816) 531-8740

NPI assigned

Apr 4, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Aug 25, 2020 through Aug 25, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr. Steven C. Mingos & Associates, LLC

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1912029893
  NPD (past) Authorized official

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982726840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4746 BELLEVIEW AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121315",
            "telephone_number": "816-531-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4746 BELLEVIEW AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121315",
            "telephone_number": "816-531-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGOS",
        "first_name": "STEVEN",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "12527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "12640023",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mindspace Wellness Counseling, LLC
• Jeff Miner, LPC
• Kathryn S Miner, D.O.
• Kevin Michael Miner, M.D.
• Takedria Mingo-Berry, FNP-BC
• Lacey Mings-Upshaw, PLPC
• Gregg E Minion, MD
• Minnesota Professional Medical Services LLC
• Joshua Seth Minnis, MSW
• Karen K Minor, FNP

• Dentist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.