KC Braces, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KC BRACES, LLC

Practice address

1399 NE Douglas St
Lees Summit, MO 64086-4607

Phone

(816) 373-0300

NPI assigned

Mar 8, 2022

Last updated

Jan 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ravi RajannaNPI 1669511010

Title

Orthodontist

Phone

(816) 373-0300

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ravi Jay Rajanna, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lee's Summit, MO
  • NPI 1669511010
  NPD Authorized official
• Kasie Renee Durham

  • Registered Nurse
  • Lee's Summit, MO
  • NPI 1629799523
  NPD (past)
• Steven Robert Sickmeyer, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lee's Summit, MO
  • NPI 1598895534
  NPD (past)

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1225785454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 NE DOUGLAS ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 NE DOUGLAS ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864607",
            "telephone_number": "816-373-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC BRACES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "RAJANNA",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "816-373-0300"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathi J. Matthes D.D.S. , P.C.
• Katie Artz Speech Language Therapy
• Lydia Kaume, RDN, LD
• Sharen Kay Kauzlarich, D.C.
• Kayla Gallo Therapy, LLC
• KC Counseling Group LLC
• KC Dental Co LLC (Mill Creek Dental)
• KC Pain ASC, LLC (Midwest Paint Management Center)
• KC Pain Centers, LLC
• Kcpedsrd LLC

• Durable Medical Equipment & Medical Supplies in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.