NPIMap

Organization Active NPI

KC Cone Beam, L.L.C.

  • Oral and Maxillofacial Radiology Dentistry
  • Lenexa, KS
National Provider Identifier
1073928495
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Radiology DentistryTaxonomy code 1223X0008X
License
BL13-00155 Issued in KS
Legal business name
KC CONE BEAM, L.L.C.
Practice address
11900 W 87TH Street Pkwy
Suite 128
Lenexa, KS 66215-2807
Phone
(913) 599-2228
Fax
(913) 599-2229
NPI assigned
Jun 24, 2014
Last updated
Jun 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Kevin P. Cunningham, D.D.S.NPI 1427144716
Title
Owner
Phone
(913) 599-2228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Radiology DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0008X BL13-00155 KS Primary

Addresses

Primary practice location

11900 W 87TH Street Pkwy
Suite 128
Lenexa, KS 66215-2807

Mailing address

11900 W 87TH Street Pkwy
Suite 128
Lenexa, KS 66215-2807
Phone (913) 599-2228

Other identifiers 1

IdentifierTypeStateIssuer
BL13-00155OtherKSLICENSE

National Provider Directory

National Provider Directory

Locations

11900 W 87th Street Pkwy
Ste 128
Lenexa, KS 66215
Phone (913) 599-2228

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1073928495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 W 87TH STREET PKWY",
            "address_2": "SUITE 128",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662152807",
            "telephone_number": "913-599-2228",
            "fax_number": "913-599-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 W 87TH STREET PKWY",
            "address_2": "SUITE 128",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662152807",
            "telephone_number": "913-599-2228",
            "fax_number": "913-599-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC CONE BEAM, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-599-2228",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "KS",
            "license": "BL13-00155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "BL13-00155",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.