Owen Shannon Lonergan, MPH, DMD, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2011008413 Issued in MO

Practice address

638 W 39TH St
Kansas City, MO 64111-2910

Phone

(816) 919-8895

NPI assigned

Jun 12, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1276300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1124349212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 NE 102ND TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641557819",
            "telephone_number": "858-354-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 W 39TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112910",
            "telephone_number": "816-919-8895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2445 SW Wanamaker Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666145470",
            "country_code": "US",
            "telephone_number": "785-588-4244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONERGAN",
        "first_name": "OWEN",
        "middle_name": "SHANNON",
        "name_prefix": "Dr.",
        "credential": "MPH, DMD, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-12",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KS",
            "license": "62200",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "2011008413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• June Lohr, RN
• Welty Jacob Lohr IV
• Alesia Lokshina
• Lone Dialysis LLC
• James H Lonergan, MD
• Shan Long-Moore, M.A., PLPC
• Amanda C Long, PTA
• Amelia Ann Long, RN
• Beckie Long
• Julie Marie Long

• Oral and Maxillofacial Surgery (Dentist) in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.