Organization Active NPI

Charles F. Breusing, D.D.S.,PC

  • General Practice Dentistry
  • Kansas City, MO
National Provider Identifier
1285808840
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11576 Issued in MO
Legal business name
CHARLES F. BREUSING, D.D.S.,PC
Practice address
411 Nichols Rd
Suite 241
Kansas City, MO 64112-2000
Phone
(816) 561-2800
NPI assigned
Apr 15, 2008
Last updated
Apr 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Debra S Englebrake
Title
Office Manager
Phone
(816) 561-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11576 MO Primary

Addresses

Primary practice location

411 Nichols Rd
Suite 241
Kansas City, MO 64112-2000

Mailing address

411 Nichols Rd
Suite 241
Kansas City, MO 64112-2000
Phone (816) 561-2800

National Provider Directory

National Provider Directory

Locations

411 Nichols Rd
Ste 241
Kansas City, MO 64112
Phone (816) 561-2800

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1285808840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 NICHOLS RD",
            "address_2": "SUITE 241",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641122000",
            "telephone_number": "816-561-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 NICHOLS RD",
            "address_2": "SUITE 241",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641122000",
            "telephone_number": "816-561-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES F. BREUSING, D.D.S.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "ENGLEBRAKE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "816-561-2800"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "11576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.