Organization Active NPI

Brian S. Sutton DDS, PC

  • Dentist
  • Kansas City, MO
National Provider Identifier
1093330128
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BRIAN S. SUTTON DDS, PC
Practice address
4546 Main St
Kansas City, MO 64111-1816
Phone
(816) 931-2342
Fax
(816) 931-1859
NPI assigned
Jun 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Authorized official

Name
Dr. Brian S. Sutton, DDSNPI 1982624961
Title
Owner
Phone
(816) 931-2342

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4546 Main St
Kansas City, MO 64111-1816

Mailing address

4546 Main St
Kansas City, MO 64111-1816
Phone (816) 931-2342

National Provider Directory

National Provider Directory

Locations

4546 Main St
Kansas City, MO 64111
Phone (816) 239-3214

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1093330128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4546 MAIN ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641111816",
            "telephone_number": "816-931-2342",
            "fax_number": "816-931-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4546 MAIN ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641111816",
            "telephone_number": "816-931-2342",
            "fax_number": "816-931-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN S. SUTTON DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-931-2342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.