KC Oral & Facial Surgical Institute LLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

KC ORAL & FACIAL SURGICAL INSTITUTE LLC

Practice address

4225 Baltimore Ave
Kansas City, MO 64111-2304

Phone

(816) 753-4225

Fax

(816) 753-4226

NPI assigned

Apr 10, 2022

Last updated

Apr 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Steven J Prstojevich, MD, DDS, FACSNPI 1588626659

Title

Owner

Phone

(816) 820-4411

Specialties & licenses 1

Addresses

Locations

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.

• Steven J Prstojevich, MD DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Lee's Summit, MO
  • NPI 1588626659
  NPD (past) Authorized official

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

{
    "created_epoch": "1649548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649548800000",
    "number": "1659013712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 BALTIMORE AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112304",
            "telephone_number": "816-753-4225",
            "fax_number": "816-753-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 BALTIMORE AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112304",
            "telephone_number": "816-753-4225",
            "fax_number": "816-753-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC ORAL & FACIAL SURGICAL INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-10",
        "last_updated": "2022-04-10",
        "certification_date": "2022-04-10",
        "status": "A",
        "authorized_official_last_name": "PRSTOJEVICH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-820-4411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DDS, FACS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• KC Testing Solutions, LLC

• Oral and Maxillofacial Surgery Clinic/Center in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2022; 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.