Organization Active NPI

Newby Oral Surgery

Doing business as Kansas City Dental Implants and Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Overland Park, KS
National Provider Identifier
1396552519
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
NEWBY ORAL SURGERY
Doing business as
Kansas City Dental Implants and Oral Surgery
Practice address
7701 W 119TH St
Overland Park, KS 66213-1103
Phone
(913) 912-2279
NPI assigned
Dec 11, 2024
Last updated
Jan 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Brent NewbyNPI 1538420195
Title
Owner/Oral Surgeon
Phone
(913) 912-2279

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary

Addresses

Primary practice location

7701 W 119TH St
Overland Park, KS 66213-1103

Mailing address

7701 W 119TH St
Overland Park, KS 66213-1103
Phone (913) 912-2279

Other practice location 1

19045 E Valley View Pkwy
Independence, MO 64055-7030
Phone (816) 254-2345

Other practice location 2

11108 S Noble Dr
Olathe, KS 66061-7528
Phone (913) 353-9030

Other practice location 3

5821 NW Barry Rd
Kansas City, MO 64154-1494
Phone (816) 327-6636

Other names 1

  • Kansas City Dental Implants and Oral Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

11108 S Noble Dr
Olathe, KS 66061
Phone (913) 353-9030

7701 W 119th St
Overland Park, KS 66213
Phone (800) 566-2079

19045 E Valley View Pkwy
Ste H
Independence, MO 64055
Phone (913) 529-5999

5821 NW Barry Rd
Kansas City, MO 64154
Phone (816) 327-6636

Practitioners & affiliated clinicians

Practitioners 4

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": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1396552519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 W 119TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131103",
            "telephone_number": "913-912-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 W 119TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131103",
            "telephone_number": "913-912-2279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19045 E Valley View Pkwy",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640557030",
            "country_code": "US",
            "telephone_number": "816-254-2345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11108 S Noble Dr",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660617528",
            "country_code": "US",
            "telephone_number": "913-353-9030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5821 NW Barry Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641541494",
            "country_code": "US",
            "telephone_number": "816-327-6636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEWBY ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "NEWBY",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER/ORAL SURGEON",
        "authorized_official_telephone_number": "913-912-2279"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kansas City Dental Implants and Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kansas City Dental Implants and Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.