Brianna Michele Ganson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60829 Issued in KS

Practice address

11225 Nall Ave
Suite 100
Leawood, KS 66211-1928

Phone

(913) 469-6555

Fax

(913) 469-6555

NPI assigned

Jul 9, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 26, 2016 through Jan 26, 2028

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 and National Provider Directory roles.

• Brianna Ganson, DDS, LLC

  • General Practice Dentistry
  • Leawood, KS
  • NPI 1619356326
  NPD (past) Authorized official
• William H. Doyle,D.D.S.,P.a.

  • Dental Clinic/Center
  • Overland Park, KS
  • NPI 1568632206
  NPD (past)

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1235494964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11225 NALL AVE",
            "address_2": "SUITE 100",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111928",
            "telephone_number": "913-469-6555",
            "fax_number": "913-469-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11225 NALL AVE",
            "address_2": "SUITE 100",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111928",
            "telephone_number": "913-469-6555",
            "fax_number": "913-469-6555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8800 Ballentine St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662141900",
            "country_code": "US",
            "telephone_number": "913-894-4050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "651 E Prescott Rd",
            "address_purpose": "LOCATION",
            "city": "Salina",
            "state": "KS",
            "postal_code": "674017408",
            "country_code": "US",
            "telephone_number": "785-826-9017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANSON",
        "first_name": "BRIANNA",
        "middle_name": "MICHELE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2014004314",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235494964",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40012248",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201112750A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "briannagansondds@happyteeth.ksbdental.phimailbox.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11225 Nall Ave",
            "address_2": "Suite 100",
            "city": "Leawood",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662111928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy Gallagher, PT
• Mia Georgann Gallagher, FNP
• Kristin Gallant, DPT
• Jane Galvan-Colson, MSW
• Galway Homes of Kansas Inc
• Laura Garber
• Melinda A Garcia, DDS
• Stephanie Marie Garcia, D.O.
• Robert C Gardiner, MD
• Kathryn Gardner-Rosica, M.ED.-SLP

• General Practice Dentistry in Leawood, KS
• Providers in Leawood, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.