Healthcare Provider Details

I. General information

NPI: 1700522133
Provider Name (Legal Business Name): ABDULKAREEM HARUNANI DDS, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2022
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9350 N OAK TRFY
KANSAS CITY MO
64155-2263
US

IV. Provider business mailing address

5215 FOREST TRAIL DR
ROCKFORD IL
61109-6516
US

V. Phone/Fax

Practice location:
  • Phone: 816-400-4045
  • Fax:
Mailing address:
  • Phone: 815-668-5298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number2901601445
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number2025018029
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: