Active NPI
Overland Park Periodontics LLC
Doing business as Overland Park Periodontics
- Dental Clinic/Center
- Overland Park, KS
National Provider Identifier
1124924337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- OVERLAND PARK PERIODONTICS LLC
- Doing business as
- Overland Park Periodontics
- Practice address
- 11044 Quivira Rd
Overland Park, KS 66210-1239 - Phone
- (913) 791-7576
- Fax
- (913) 791-7577
- NPI assigned
- Oct 15, 2026
- Last updated
- Oct 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephanie Shelby, DMD, MS
- Title
- Owner
- Phone
- (586) 431-8404
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
11044 Quivira Rd
Overland Park, KS 66210-1239
Mailing address
11044 Quivira Rd
Overland Park, KS 66210-1239
Phone (913) 791-7576
Other names 1
- Overland Park Periodontics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792022400000",
"number": "1124924337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11044 QUIVIRA RD",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662101239",
"telephone_number": "913-791-7576",
"fax_number": "913-791-7577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11044 QUIVIRA RD",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662101239",
"telephone_number": "913-791-7576",
"fax_number": "913-791-7577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OVERLAND PARK PERIODONTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-15",
"last_updated": "2026-10-15",
"certification_date": "2026-10-15",
"status": "A",
"authorized_official_last_name": "SHELBY",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "586-431-8404",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD, MS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Overland Park Periodontics",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Overland Park, KS
- Overland Park Medical Specialists, LLC
- Overland Park Modern Dentistry PA (Overland Park Modern Dentistry)
- Overland Park Nursing & Rehab Center Inc (AdventHealth Care Center Overland Park)
- Overland Park Orthopedics, LLC
- Overland Park Orthopedics, LLC (Overland Park Surgical Specialists & Sports Medicine)
- Overland Park Physical and Occupational Therapy LLC
- Overland Park Respiratory and Rehab Center LLC
- Overland Park Senior Living (Heritage of Overland Park)
- Overland Park Smiles
- Overland Park SNF Healthcare LLC (Overland Park Post Acute)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.