Kori Suzanne Bryant, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

61117 Issued in KS

Practice address

1133 College Avenue
Suite D164
Manhattan, KS 66502-2940

Phone

(785) 776-7242

Fax

(785) 776-7243

NPI assigned

Jul 7, 2014

Last updated

Oct 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Little Apple Pediatric Dentistry, LLC

  • Pediatric Dentistry
  • Manhattan, KS
  • NPI 1710428180
  NPD (past)

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1194131672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVENUE",
            "address_2": "SUITE D164",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022940",
            "telephone_number": "785-776-7242",
            "fax_number": "785-776-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVENUE",
            "address_2": "SUITE D164",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022940",
            "telephone_number": "785-776-7242",
            "fax_number": "785-776-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "KORI",
        "middle_name": "SUZANNE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KS",
            "license": "61117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan W Brown
• Nicole Elizabeth Brown
• Kate Brull
• Jessi Brummett
• Brett Bruning, LMFT, LAC
• Paul E Bullock, O.D.
• Kathryn Jo Bunker, AU.D.
• Amanda Marie Bunnell, MSW
• Judith Ann Bunting, DNP, APRN, PMHNP-BC
• Tamara Jo Burke-Moree, MD

• Pediatric Dentistry in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Pediatric Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.