Active NPI
Burk Ennis Allen Pannell & Markle Oral & Maxillofacial Surgeons PC
- Oral and Maxillofacial Surgery (Dentist)
- Kansas City, MO
National Provider Identifier
1003917865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Lees Summit, MO
- NPI 1629244959
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.