Provider Demographics
NPI:1558517722
Name:WARYA, NAVKIRAN (DDS)
Entity Type:Individual
Prefix:
First Name:NAVKIRAN
Middle Name:
Last Name:WARYA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4655 STATE AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66102-3601
Mailing Address - Country:US
Mailing Address - Phone:913-287-7977
Mailing Address - Fax:913-287-5022
Practice Address - Street 1:4655 STATE AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66102-3603
Practice Address - Country:US
Practice Address - Phone:913-287-7977
Practice Address - Fax:913-287-5022
Is Sole Proprietor?:No
Enumeration Date:2008-08-07
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS60583122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS2075759OtherUNITED CONCORDIA
MO1558517722Medicaid
KS200568160AMedicaid