Organization Active NPI

Radiant Grins LLC

  • Dental Clinic/Center
  • Leavenworth, KS
National Provider Identifier
1053207738
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RADIANT GRINS LLC
Practice address
502 Shawnee St
Leavenworth, KS 66048-1957
Phone
(913) 651-2115
NPI assigned
Jun 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Navkiran Kaur Warya, DDS
Title
Owner
Phone
(913) 952-1978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

502 Shawnee St
Leavenworth, KS 66048-1957

Mailing address

14433 Maple St
Overland Park, KS 66223-1256
Phone (913) 952-1978

National Provider Directory

National Provider Directory

Locations

502 Shawnee St
Leavenworth, KS 66048
Phone (913) 651-2115

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1053207738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14433 MAPLE ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662231256",
            "telephone_number": "913-952-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 SHAWNEE ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660481957",
            "telephone_number": "913-651-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT GRINS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "WARYA",
        "authorized_official_first_name": "NAVKIRAN",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-952-1978",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.