Buccal Up Dental Lenexa LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BUCCAL UP DENTAL LENEXA LLC

Practice address

13200 W 95TH St
Lenexa, KS 66215-3731

Phone

(913) 888-8333

NPI assigned

Oct 28, 2022

Organization subpart

No

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

Authorized official

Name

Becca Condley

Title

Billing/Credentialing Specialist

Phone

(918) 960-3070

Specialties & licenses 1

Addresses

Other names 1

• Dentistry for You Lenexa Doing business as

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1255048476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 S YALE AVE STE 400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356271",
            "telephone_number": "918-960-3070",
            "fax_number": "539-867-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13200 W 95TH ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153731",
            "telephone_number": "913-888-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCCAL UP DENTAL LENEXA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "CONDLEY",
        "authorized_official_first_name": "BECCA",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "918-960-3070"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry for You Lenexa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Marie Brune
• Craig Matthew Bruner, MD
• Kimberly Brungardt
• BTX KS Inc
• BTX KS Inc.
• Alexys Shae Buchman
• Grace Alice Buckalew, CCC-SLP
• Huong Thuy Ngoc Bui
• Simon Bui, PHARMD
• Carol Ann Buller, ARNP

• Dental Clinic/Center in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Dental Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.