Individual provider Active NPI

Zachary L Brown, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Kansas City, MO
National Provider Identifier
1114347861
Registry record updated Sep 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2019006664 Issued in MO
Practice address
4700 Belleview Ave Ste L10
Kansas City, MO 64112-1360
Phone
(573) 353-8549
NPI assigned
Apr 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 61546 KS
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2019006664 MO Primary

Addresses

Primary practice location

4700 Belleview Ave Ste L10
Kansas City, MO 64112-1360

Mailing address

4700 Belleview Ave Ste L10
Kansas City, MO 64112-1360
Phone (816) 561-1115

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
I20241007000165 KS Practitioner - Oral Surgery 1456644764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Cleft and Craniofacial Center PAGroup PAC ID 8820539687, 4 clinicians

Practice addresses (Care Compare)

12200 W 106TH St
Overland Park, KS 66215-2305
Phone (816) 323-6900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61546KSMDOral and Maxillofacial Surgery (Dentist)
2019006664MOMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Cleft and Craniofacial Center PA Oral and Maxillofacial Surgery CurrentSince Aug 2, 2024 Accepting new patients
Facial Surgery Group PC Oral and Maxillofacial Surgery PastSince Oct 4, 2020 Accepting new patients
Flack & Stone, D.D.S., P.C. Oral and Maxillofacial Surgery Past Accepting new patients

Locations

12200 W 106th St
Overland Park, KS 66215
Phone (816) 323-6900

4700 Belleview Ave
Ste L10
Kansas City, MO 64112
Phone (816) 561-1115

4700 Belleview Ave
Ste 210
Kansas City, MO 64112

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601164800000",
    "number": "1114347861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 BELLEVIEW AVE STE L10",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121360",
            "telephone_number": "816-561-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 BELLEVIEW AVE STE L10",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121360",
            "telephone_number": "573-353-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ZACHARY",
        "middle_name": "L",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-21",
        "last_updated": "2020-09-27",
        "certification_date": "2020-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KS",
            "license": "61546",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "2019006664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.