Active NPI
Sweet Tooth Summit Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lee's Summit, MO
National Provider Identifier
1487518791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.