Jordan Charles Brozek, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2025016688 Issued in MO

Practice address

9012 N Skyview Ave
Kansas City, MO 64154-8501

Phone

(816) 787-0680

NPI assigned

Jul 6, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1033897517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 S 112TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444702",
            "telephone_number": "402-525-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9012 N SKYVIEW AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641548501",
            "telephone_number": "816-787-0680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 N 84th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681144101",
            "country_code": "US",
            "telephone_number": "402-955-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROZEK",
        "first_name": "JORDAN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-06",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2025016688",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NE",
            "license": "7912",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MO",
            "license": "2025016688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iris Delaney Browning
• Jade Lee Browning
• Danielle Brownlee
• Erin Broxterman, PA-C
• Joanna Brozanic, RN, CDE
• Kimberly Renee Brtton
• Virgina L Bruce-Wolfe
• Caitlyn Rae Bruce
• Justin Bruce
• Lisa Darlene Bruce, PA-C

• Pediatric Dentistry in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Pediatric Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.