Justin Wayne Labart, D.D.S., M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

60952 Issued in KS

Practice address

4901 Legends Dr
Wakashaw, LLC Dba Wakarusa Oral Surgery
Lawrence, KS 66049-5800

Phone

(785) 856-6010

Fax

(785) 841-6490

NPI assigned

May 23, 2007

Last updated

May 28, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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 Nov 15, 2015 through Nov 15, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Shawnee Oral Surgery, LC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Shawnee, KS
  • NPI 1598998130
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1306056957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11214 N PENNSYLVANIA AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641551894",
            "telephone_number": "816-352-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 LEGENDS DR",
            "address_2": "WAKASHAW, LLC DBA WAKARUSA ORAL SURGERY",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660495800",
            "telephone_number": "785-856-6010",
            "fax_number": "785-841-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABART",
        "first_name": "JUSTIN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KS",
            "license": "60952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Michael Kuszmaul, LSCSW
• Helen Kute
• Caressa Kuy, NP
• Emily Kyle, LPC
• Cheryl Lynn Laaker
• Laboratory Corporation of America Holdings
• Natalie Christine Ladd
• Ashley Lagasse, MM, MT-BC, NMT
• Joshua Lee Lahr, PA
• Joseph Ryan Lambert

• Oral and Maxillofacial Surgery (Dentist) in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Oral and Maxillofacial Surgery (Dentist) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.