Special Care Dental of Missouri LLC
NPI 1790127512ActiveOrganization· Dentist· Leawood, KS
Dentist in Leawood, Kansas, registered in NPPES in July 2013. The authorized official on file is Leslie Sepanek, Credentialing Specialist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790127512 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 22, 2013 |
| Last updated in NPPES | Dec 9, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
| Dental Hygienist | 124Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
Other Dentist providers in Leawood
- 1043618838
- 1376714709
- 1740022284
- 1164622049
- 1780043018
- 1881475275
- 1356783146
- 1366699936
- 1336259175
- 1851497556
- 1922137074
- 1780725697