Village Dental Gladstone, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VILLAGE DENTAL GLADSTONE, LLC

Doing business as

Village Dental- North KC

Practice address

4104 NE Vivion Rd
Kansas City, MO 64119-2811

Phone

(816) 452-8700

NPI assigned

Jan 3, 2024

Organization subpart

No

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

Authorized official

Name

Nelson Kanning, DDSNPI 1477992246

Title

Owner

Phone

(913) 515-3359

Specialties & licenses 1

Addresses

Other names 1

• Village Dental- North KC Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nelson Carter Kanning, D.D.S.

  • General Practice Dentistry
  • Lawson, MO
  • NPI 1477992246
  NPD Authorized official
• Kurt Allen Burk

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1083691380
  NPD (past)

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1316717283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 NE VIVION RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641192811",
            "telephone_number": "816-452-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 NE VIVION RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641192811",
            "telephone_number": "816-452-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE DENTAL GLADSTONE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "KANNING",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-515-3359",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Dental- North KC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Vierthaler, MD
• Heather Vieth, DNP, NP-C
• Niranjan Vijayakumar, M.B.B.S
• Silvie Rajbhandari Vijayananda, MD
• Villa Ventura Residential Care Facility
• Village Dental, LLC
• Melanie A Villanueva, D.O.
• Arnold E Villavicencio
• Ma Cristina Villavicencio
• Samantha Vilson

• General Practice Dentistry in Kansas City, MO
• Providers in Kansas City, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.