Organization Active NPI

Burk Ennis Allen Pannell & Markle Oral & Maxillofacial Surgeons PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Kansas City, MO
National Provider Identifier
1003917865
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
BURK ENNIS ALLEN PANNELL & MARKLE ORAL & MAXILLOFACIAL SURGEONS PC
Practice address
1010 Carondelet Dr.
Suite 316
Kansas City, MO 64114
Phone
(816) 941-0000
Fax
(816) 941-3146
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert L Ennis, D.D.S.
Title
President
Phone
(816) 254-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

1010 Carondelet Dr.
Suite 316
Kansas City, MO 64114

Mailing address

1010 Carondelet Dr.
Suite 316
Kansas City, MO 64114
Phone (816) 941-0000

Other names 1

  • Burk Ennis Allen Pannell & Markle Oral & Maxillofacial Surgeons PC Doing business as

National Provider Directory

National Provider Directory

Locations

3916 S Lynn Ct
Independence, MO 64055
Phone (816) 254-2345

1010 Carondelet Dr
Ste 316
Kansas City, MO 64114
Phone (816) 254-2345

1010 Carondelet Dr
Ste 3
Kansas City, MO 64114
Phone (816) 941-0000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1003917865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR.",
            "address_2": "SUITE 316",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64114",
            "telephone_number": "816-941-0000",
            "fax_number": "816-941-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR.",
            "address_2": "SUITE 316",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64114",
            "telephone_number": "816-941-0000",
            "fax_number": "816-941-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURK ENNIS ALLEN PANNELL & MARKLE ORAL & MAXILLOFACIAL SURGEONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "ENNIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-254-2345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burk Ennis Allen Pannell & Markle Oral & Maxillofacial Surgeons PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.