THAER DAIFALLAH DDS – NPI #1699901868
Oral & Maxillofacial Surgery

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Health Care Provider Taxonomy Code for Oral & Maxillofacial Surgery

THAER DAIFALLAH is an oral & maxillofacial surgeon located in KANSAS CITY, MO. NPPES has assigned the NPI number 1699901868 to THAER DAIFALLAH on June 02, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 204E00000X from the Health Care Provider Taxonomy code set, which is classified as Oral & Maxillofacial Surgery.

The NPI profile was previously updated about 6 years ago on Nov 19, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THAER DAIFALLAH below.

NPI Profile for
THAER DAIFALLAH

NPI Number
1699901868
Enumeration Date

(more than 17 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
THAER DAIFALLAH
Credentials
DDS
Primary location
2101 CHARLOTTE ST
KANSAS CITY, MO 64108-2727
Phone: (816) 404-0500 Fax:
1 Other location(s):
2301 Holmes St
Kansas City, MO 64108-2640
Phone: (816) 404-0500
Mailing address
2301 HOLMES ST
KANSAS CITY, MO 64108-2640
Phone: (816) 404-0500 Fax:
Sole Proprietor
No
Updated
Certification Date
Nov 19, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204E00000X
- Oral & Maxillofacial Surgery (Primary)		 KS 60883
2082S0099X
- Plastic Surgery / Plastic Surgery Within the Head and Neck		 MO 2009013156
1223S0112X
- Dentist / Oral and Maxillofacial Surgery		 MO 2009013156

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE - Graduated 2009
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
THAER DAIFALLAH is affiliated with the following medical group(s):
  • HOSPITAL
    • ST LUKES HOSPITAL OF KANSAS CITY
      4401 WORNALL ROAD
      KANSAS CITY, MO 64111
    • TRUMAN MEDICAL CENTER HOSPITAL HILL
      2301 HOLMES STREET
      KANSAS CITY, MO 64108

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