Individual provider Active NPI

Rachelle Suzanne Brown, D.D.S.

  • General Practice Dentistry
  • Lenexa, KS
National Provider Identifier
1023334315
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60787 Issued in KS
Practice address
13021 W 95TH St Ste B
Lenexa, KS 66215-3700
Phone
(913) 400-2150
Fax
(913) 210-5661
NPI assigned
Apr 13, 2010
Last updated
May 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60787 KS Primary

Addresses

Primary practice location

13021 W 95TH St Ste B
Lenexa, KS 66215-3700

Mailing address

13021 W 95TH St Ste B
Lenexa, KS 66215-3700
Phone (913) 400-2150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180529002368 KS Practitioner - Oral Surgery 6709141534 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60787KSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sas NKC LLC Current Accepting new patients
RSS Rachelle Brown LLC General Practice CurrentSince Feb 21, 2018 Accepting new patients

Locations

12803 W 87th Street Pkwy
Lenexa, KS 66215
Phone (913) 227-0764

13021 W 95th St
Ste B
Lenexa, KS 66215
Phone (913) 400-2150

11920 College Blvd
Overland Park, KS 66210
Phone (913) 400-2150

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1023334315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13021 W 95TH ST STE B",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153700",
            "telephone_number": "913-400-2150",
            "fax_number": "913-210-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13021 W 95TH ST STE B",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153700",
            "telephone_number": "913-400-2150",
            "fax_number": "913-210-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RACHELLE",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-13",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.