Organization Active NPI

Sweet Tooth Summit Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lee's Summit, MO
National Provider Identifier
1487518791
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SWEET TOOTH SUMMIT ORTHODONTICS
Practice address
512 SE State Route 291
Lees Summit, MO 64063-4302
Phone
(816) 265-2203
NPI assigned
Dec 11, 2025
Last updated
Dec 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Wayne Dobbins
Title
Owner
Phone
(913) 276-3809

Specialties & licenses 1

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

Addresses

Primary practice location

512 SE State Route 291
Lees Summit, MO 64063-4302

Mailing address

512 SE State Route 291
Lees Summit, MO 64063-4302

National Provider Directory

National Provider Directory

Locations

512 SE State Route 291
Lees Summit, MO 64063
Phone (816) 265-2203

NPI Registry JSON

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

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1487518791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 SE STATE ROUTE 291",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640634302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 SE STATE ROUTE 291",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640634302",
            "telephone_number": "816-265-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET TOOTH SUMMIT ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "DOBBINS",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-276-3809"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.