Organization Active NPI

Midtown Orthodontics, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kansas City, MO
National Provider Identifier
1487109393
Registry record updated Aug 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2008019818 Issued in MO
Legal business name
MIDTOWN ORTHODONTICS, LLC
Practice address
3315 Gillham PLZ
Kansas City, MO 64109-1745
Phone
(816) 756-2273
NPI assigned
Aug 20, 2016
Last updated
Aug 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2016

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

Authorized official

Name
Shayna Bahr, DMDNPI 1396759866
Title
Manager
Phone
(303) 524-4501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 2008019818 MO Primary

Addresses

Primary practice location

3315 Gillham PLZ
Kansas City, MO 64109-1745

Mailing address

10800 Farley St
Suite 200
Overland Park, KS 66210-1414

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1471651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471651200000",
    "number": "1487109393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 FARLEY ST",
            "address_2": "SUITE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 GILLHAM PLZ",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641091745",
            "telephone_number": "816-756-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-20",
        "last_updated": "2016-08-20",
        "status": "A",
        "authorized_official_last_name": "BAHR",
        "authorized_official_first_name": "SHAYNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-524-4501",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "2008019818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 20, 2016; 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.