KC Dentistry 4 Kids LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KC DENTISTRY 4 KIDS LLC

Practice address

1900 NE 72ND St Ste a
Gladstone, MO 64118-2328

Phone

(480) 866-8811

NPI assigned

Jul 28, 2023

Organization subpart

No

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

Authorized official

Name

Teresa Zwicky

Title

Credentialing Manager

Phone

(480) 866-8811

Specialties & licenses 1

Addresses

Other names 1

• KC Dentistry 4 Kids 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.

• Christopher Andrew Lind

  • General Practice Dentistry
  • El Paso, TX
  • NPI 1962718536
  NPD (past)
• Brandi Lynn Tiner, D.D.S.

  • Dentist
  • El Paso, TX
  • NPI 1326024670
  NPD (past)

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1417638792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 NE 72ND ST STE A",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641182328",
            "telephone_number": "816-301-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 NE 72ND ST STE A",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641182328",
            "telephone_number": "480-866-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC DENTISTRY 4 KIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "ZWICKY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "480-866-8811"
    },
    "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": "KC Dentistry 4 Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Mary Jones, M.A.
• Jordan Perriman DDS LLC
• Karr Chiropractic LLC
• Jared P Karr, D.C.
• Bruce A Kauk, M.D.
• KC Family Eyecare PC
• Kerri Lynn Keberlein-Lynn, ARNP, FNP-C
• Kendallwood Senior Properties, LLC
• Tanairi Kennedy
• Kyle Coleman Kepler, DDS

• General Practice Dentistry in Gladstone, MO
• Providers in Gladstone, 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 Aug 20, 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.