Organization Active NPI

Staci R Blaha, DDS, PC

  • General Practice Dentistry
  • Platte City, MO
National Provider Identifier
1992671077
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
STACI R BLAHA, DDS, PC
Practice address
1316 Plaza CT
Platte City, MO 64079-7349
Phone
(816) 858-2027
Fax
(816) 858-5389
NPI assigned
Oct 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Shelley Kincaid
Title
Business Manager
Phone
(816) 858-2027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1316 Plaza CT
Platte City, MO 64079-7349

Mailing address

1316 Plaza CT
Platte City, MO 64079-7349
Phone (816) 858-2027

Other names 1

  • Platte Valley Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

1316 Plaza Ct
Platte City, MO 64079
Phone (816) 858-2027

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1992671077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 PLAZA CT",
            "city": "PLATTE CITY",
            "state": "MO",
            "postal_code": "640797349",
            "telephone_number": "816-858-2027",
            "fax_number": "816-858-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 PLAZA CT",
            "city": "PLATTE CITY",
            "state": "MO",
            "postal_code": "640797349",
            "telephone_number": "816-858-2027",
            "fax_number": "816-858-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACI R BLAHA, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "KINCAID",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "816-858-2027"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Platte Valley Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Platte City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.