Organization Active NPI

Kirby L Kavanaugh DDS LLC

Doing business as Zona Rosa Dental, LLC

  • Dental Clinic/Center
  • Kansas City, MO
National Provider Identifier
1396423588
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KIRBY L KAVANAUGH DDS LLC
Doing business as
Zona Rosa Dental, LLC
Practice address
4103 NW Barry Road
Kansas City, MO 64154
Phone
(816) 741-6200
Fax
(816) 741-9057
NPI assigned
Jul 7, 2023
Last updated
Jul 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Authorized official

Name
Kirby L Kavanaugh, DDS
Title
Dentist/Owner
Phone
(816) 741-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

4103 NW Barry Road
Kansas City, MO 64154

Mailing address

4103 NW Barry Road
Kansas City, MO 64154
Phone (816) 741-6200

Other names 1

  • Zona Rosa Dental, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

4103 NW Barry Rd
Kansas City, MO 64154
Phone (816) 741-6200

NPI Registry JSON

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1396423588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 NW BARRY ROAD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64154",
            "telephone_number": "816-741-6200",
            "fax_number": "816-741-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 NW BARRY ROAD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64154",
            "telephone_number": "816-741-6200",
            "fax_number": "816-741-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRBY L KAVANAUGH DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "KAVANAUGH",
        "authorized_official_first_name": "KIRBY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "816-741-6200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zona Rosa Dental, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 7, 2023; 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.