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STEPHANIE M. WILSON D.D.S.
NPI 1780098129
Dentist - Pediatric Dentistry in Kansas City, MO

Active since June 13, 2014PECOS Enrolled
8291 N BOOTH AVE, KANSAS CITY, MO 64158(816) 728-2979 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2019, Feb 14, 2019, Jan 30, 2019 and 1 more (4 updates tracked since 2016).

About Stephanie M. Wilson D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE M. WILSON D.D.S. (NPI 1780098129) is an individual pediatric dentistry provider in Kansas City, Missouri, licensed in Missouri (2014017372) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Kansas City.

NPPES Registry Identity

NPI1780098129
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameSTEPHANIE M. WILSONCredential: D.D.S.
Location Address8291 N BOOTH AVEKansas City, MO 64158-7202
Mailing Address9018 N Skyview AveKansas City, MO 64154-8501 · (816) 741-5113
Phone(816) 728-2979
Sole ProprietorNo
Enumeration DateJune 13, 2014
Last NPPES UpdateJuly 30, 20194 updates tracked since enumeration
✔ NPI 1780098129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MO · 2014017372
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License 2014017372 (MO), 61506 (KS)
8291 N BOOTH AVE, Kansas City, MO 64158
Open in Google Maps ↗

Secondary Practice Location 1

Location 19018 N Skyview AveKansas City, MO 64154 · Phone (816) 741-5113

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie M. Wilson D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64158 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEREME KEITH SEBASTIAN
Dentist (General Practice)
8291 N BOOTH AVE
KANSAS CITY, MO 64158
Clay County (816) 728-2979
DR. LAYNE O'BRYAN KONNEMAN DDS
Dentist
8291 N BOOTH AVE
KANSAS CITY, MO 64158
Clay County (816) 728-2979
DR. SHANE ALAN JENKS D.M.D
Dentist (Pediatric Dentistry)
8291 N BOOTH AVE
KANSAS CITY, MO 64158
Clay County (816) 728-2979

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Wilson's NPI number?

The NPI number for Stephanie Wilson is 1780098129. It was assigned to this individual provider in the NPPES registry on June 13, 2014.

Where is Stephanie Wilson located?

Stephanie Wilson practices at 8291 N Booth Ave, Kansas City, MO 64158. The listed phone number is (816) 728-2979.

What is Stephanie Wilson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Stephanie Wilson enrolled in Medicare?

Yes. Stephanie Wilson is registered in the Medicare PECOS enrollment system.

What insurance does Stephanie Wilson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 19 other insurers list Stephanie Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephanie Wilson was last updated on July 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.