Layne O'Bryan Konneman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2025019813 Issued in MO

Practice address

8291 N Booth Ave
Kansas City, MO 64158-7202

Phone

(816) 728-2979

NPI assigned

Jun 5, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bryan Watanabe DDS Liberty Dental Group PC

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1780056135
  NPD (past)

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1508750407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8291 N BOOTH AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641587202",
            "telephone_number": "816-728-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8291 N BOOTH AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641587202",
            "telephone_number": "816-728-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONNEMAN",
        "first_name": "LAYNE",
        "middle_name": "O'BRYAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2025019813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Kolo, D.O.
• Ethan Kyle Komp, D.C.
• Sindhu Kondamu
• Kyong A Kong, DDS
• Kyong-Yun Kong, DDS
• Kono Care Services
• Ann Michelle Konopasek-Morris, RN
• Mark Charles Konrade, PHARMD
• Kenneth Koontz, MD
• Andre Koop

• Dentist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.