Individual provider Active NPI

Kirby Lee Klug, D.D.S

  • Dentist
  • Overland Park, KS
National Provider Identifier
1447257639
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6275 Issued in KS
Practice address
8631 W 150TH St
Overland Park, KS 66223-2974
Phone
(913) 681-8668
Fax
(913) 851-0440
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6275 KS Primary

Addresses

Primary practice location

8631 W 150TH St
Overland Park, KS 66223-2974

Mailing address

8631 W 150TH St
Overland Park, KS 66223-2974
Phone (913) 681-8668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150508000157 KS Order and Referring Only - DentistPractitioner - Dentist 6901125285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6275KSMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1447257639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 W 150TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232974",
            "telephone_number": "913-681-8668",
            "fax_number": "913-851-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 150TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232974",
            "telephone_number": "913-681-8668",
            "fax_number": "913-851-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUG",
        "first_name": "KIRBY",
        "middle_name": "LEE",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "6275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.