Independence Orthodontics, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2008019818 Issued in MO

Legal business name

INDEPENDENCE ORTHODONTICS, LLC

Practice address

651 E US Highway 24
Independence, MO 64050-2974

Phone

(816) 461-0300

NPI assigned

Aug 20, 2016

Organization subpart

No

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

Authorized official

Name

Shayna Bahr, DMD

Title

Manager

Phone

(303) 524-4501

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1471651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471651200000",
    "number": "1013462928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 FARLEY ST",
            "address_2": "STE. 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 E US HIGHWAY 24",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640502974",
            "telephone_number": "816-461-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-20",
        "last_updated": "2016-08-20",
        "status": "A",
        "authorized_official_last_name": "BAHR",
        "authorized_official_first_name": "SHAYNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-524-4501",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "2008019818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Independence MC, LLC
• Independence Medical Group PC
• Independence Mo Consulting LLC
• Independence Neurosurgery Services LLC
• Independence Operations LLC
• Independence Pediatric Dentistry LLC
• Independence Pediatrics PC
• Independence Pediatrics, P.C. Inc.
• Independence Regional Medical Group LLC
• Independence School District

• Orthodontics and Dentofacial Orthopedics Dentistry in Independence, MO
• Providers in Independence, MO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; 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.