Village Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VILLAGE DENTAL, LLC

Doing business as

Village Dental- Claycomo

Practice address

415 E US Highway 69
Kansas City, MO 64119-3118

Phone

(816) 580-4191

NPI assigned

Nov 30, 2020

Organization subpart

No

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

Authorized official

Name

Amy D Kanning

Title

Business Manager

Phone

(913) 908-9523

Specialties & licenses 1

Addresses

Other names 1

• Village Dental- Claycomo Doing business as

Locations

Interoperability endpoints

• Direct secure messaging: nelson@kanningdental.com

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 (past)
• Christopher Taylor Lippold, DDS

  • Dentist
  • Lawrence, KS
  • NPI 1477164705
  NPD (past)

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1417552464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E US HIGHWAY 69",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641193118",
            "telephone_number": "816-263-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E US HIGHWAY 69",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641193118",
            "telephone_number": "816-580-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "KANNING",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "913-908-9523"
    },
    "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- Claycomo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Vieth, DNP, NP-C
• Niranjan Vijayakumar, M.B.B.S
• Silvie Rajbhandari Vijayananda, MD
• Villa Ventura Residential Care Facility
• Village Dental Gladstone, LLC (Village Dental- North KC)
• Melanie A Villanueva, D.O.
• Arnold E Villavicencio
• Ma Cristina Villavicencio
• Samantha Vilson
• Kristine Vince, LCSW, LSCSW

• 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.